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Pre-Proposal for Program Support Funds
Family Development Capacity Area
October 30, 2002
Area of Expertise: Health and Nutrition
Request for: a Emerging program support 13,565
b On-going program support 8,650
Contact Persons: REEs - Kari Beran, LeAnn Evans, Karin Ihnin, Marilyn
Maiser, Sharon OGorman, Glenyce Vangsness-Peterson, Mary Schroeder, Craig
Hassel, Marla Reicks
Brief description of program/project for which funds are requested:
Priority need addressed: Building Strengths of Under-served and
Transitioning Families, Positive Out-of-School Time and Vital Aging
Four of the leading causes of death are linked to diet; heart disease,
cancer, diabetes, and stroke US children and adults consistently do not
meet dietary and physical activity recommendations for prevention of these
diseases 1, 2 A summary measure of dietary quality indicates that 7 of
10 Americans need to improve their diet 2 Recent government reports
estimate that up to 61 of US adults are overweight or obese and 1 of 4
children are overweight 3, 4, conditions which increase risk for
development of chronic
diseases such as heart disease, some cancers and
type 2 diabetes This need exists throughout Minnesota, however, since
African American and Hispanic groups have higher incidence of overweight
and obesity, geographic areas with higher proportions of people from these
groups may have greater needs
Levels of physical inactivity are high in Minnesota for both youth and
adults 5, also contributing to risks for overweight and obesity and their
associated disease risk and health care costs In 2000, only 27 of
Minnesota adults achieved the recommended level of physical activity per
week In 1998, a Minnesota survey showed that more than half of all 6th
and 12th grade children in the state did not meet the requirement for being
physically active 5 or more days a week for at least 30 min/day It has
been estimated that health care costs due to physical inactivity are close
to 500 million per year in Minnesota 5 According to the USDA, healthier
diets could prevent at least 71 billion per year in medical costs, lost
productivity, and lost lives in relation to diet-related coronary heart
disease, stroke, cancer, and diabetes 6 In addition, obesity is
estimated to cost 117 billion, and
osteoporosis costs 14 billion in
medical expenses 7 According to the CDC, state and federal governments
spend one thousand times more to treat disease than to prevent it 1,390
vs 121 per person each year
How was this need determined? A review of the scientific literature for
both national and state level data related to eating patterns, weight
status, and physical inactivity documents these needs
Program: The Health and Nutrition REEs are developing a multi-component
program to address the needs outlined with two concurrent tracks
The first track involves the implementation of three current programs with
emphasis on collection of needs assessment data to form the basis for the
development of programming involved in the second track, as well as
development of a network of potential partners and participants
Track One - Three components:
1 Diet/Physical Activity and Consumer Health Decisions is a standardized
set of 7 lessons addressing the relationship between diet and physical
activity behaviors and risk for chronic disease, informed consumer decision
making about health, and healthy lifestyles including stress reduction,
family time together, and balancing work and family
These lessons are in
varying stages of development They are intended to be delivered to adult
consumers direct delivery or professionals who will teach the lesson to a
secondary audience Train the trainer format The overall objectives and
contact persons are:
1 Increasing daily levels of physical activity - Mary Shroeder in pilot
testing phase
2 Increasing daily intake of fruits and vegetables - Kari Beran in pilot
testing phase
3 Increasing intake of whole grain foods and fiber - Marla Reicks in
pilot testing phase
4 Making informed consumer decisions about herbal supplements - Marilyn
Maiser in pilot testing phase
5 Eating breakfast regularly - Glenyce Vangsness-Peterson in pilot
testing phase
6 Practicing stress management techniques in development
7 Making informed consumer decisions about weight loss and methods
available - LeAnn Evans in development
Educators need to complete the development, pilot testing and marketing of
these lessons prior to delivery on an ongoing basis In the pilot testing
and delivery phases, there will be opportunities to collect further needs
assessment data from current and potential audiences for these lessons
2 ITV Satellite series Fall and
Spring
The fall offering is entitled the Diet and Disease Connection and provides
information to consumers, students, health professionals and study group
members to address functional foods, advances in prevention and treatment
of heart disease, and the increasing prevalence of type 2 diabetes A
needs assessment form will be used to collect information about future
education needs of participants
The spring offering will address current inactivity, increasing prevalence
of overweight, and eating behaviors of children We hope to integrate this
programming with partners involved in the Healthy Schools Initiative
Depts Children, Families, Learning, and Health, Dairy Council, School of
Public Health to provide information to school administrators and
teachers, and health and child care professionals on a state level This
will provide another opportunity to collect needs assessment data from a
wider audience
3 Implementation of the Fun with Foods and Fitness Curriculum
This series of 9 units was developed for children in after school care
programs grades 3 to 5 by Michigan State University Extension We will
partner with 4-H educators to train teachers to deliver the lessons
after
school to children The lessons contain both physical activity and
nutrition components but lack a strong parent/family involvement component
Educators will work with teachers to complete additional needs assessment
with parents surveys sent home or focus groups at an evening meal when
parents pick up child These results can provide information for
development of a parent/family involvement component that will be developed
in the second concurrent path
Track Two
The second track involves the development of two additional components that
will address the need for parent/family and community involvement regarding
the implications for long term health of children that result from
inactivity and poor dietary choices
1 Eat and Be Fit Together children and caregivers A series of lessons
will be developed based on needs assessment data from parents,
professionals, and community partners, environmental scanning, and
examination of existing curricula Based on a literature review and scan
for current curricula, there is a lack of curricular materials that address
the issues of parental influences on eating and physical activity behaviors
of children including strategies such
as role modeling to change behaviors
and eating meals together We hope to learn about applicable strategies
from Family Development Educators in the Family Relationships area
regarding mentoring and positive parenting as well as previous research
The lessons will address:
1 Eating together/positive meal environment
2 Role modeling and other positive strategies parents can use to influence
eating and physical activity behaviors of children
3 Issues related to body size acceptance and media influences
4 Healthy school environment availability of soft drinks and high fat a
la carte offerings
2 Children and Weight - What Can Communities Do? This is a kit developed
by the University of California Extension Service that assists educators in
the development of community coalitions that address the epidemic of
overweight in children A guide provided in the kit will be used to bring
together a group of interested partners in several communities for a series
of 6 meetings to set an agenda to take action on a community level
Audience: The audiences for the various components of the two tracks
include children in after school care programs, child care professionals,
teachers and
school administrators, consumers, health professionals and
community partners
Delivery Methods: Direct delivery, train the trainer presentations, and
ITV satellite for Track One programs For Track Two, needs assessment data
will be used to determine the delivery method needed
Expected Outcomes and Impacts:
Track One
Diet/Physical Activity and Consumer Health Decisions:
Consumers eating or physical activity behavior change, improved ability to
make informed decisions about health
Trainers improved ability to deliver the lessons to the end user to effect
behavior change or ability to make informed decisions about health
ITV Satellite series:
Fall offering:
Identify functional foods with the context of good nutrition and chronic
disease prevention, identify potential risks and benefits of functional
foods and their role in improving nutrition status, differentiate between
Type 2 diabetes and pre-diabetes, appreciate the implications of the
rapidly increasing prevalence of Type 2 and pre-diabetes, identify current
prevention and treatment strategies and best practices for Type 2 and pre-
diabetes, use practical strategies for increasing physical activity levels
Spring
offering:
Specific objectives will be determined upon development of the program
The general goal will be to identify and use best practices in the schools
and community to improve dietary choices and increase physical activity
levels for students
Fun with Foods and Fitness:
Improved behaviors eating more fruits, vegetables, dairy products, eating
breakfast regularly, reading food labels, being more active, washing hands
before eating
Track Two
Eat and Be Fit Together
Improved behaviors for both parents and children eating together as a
family more frequently, parents - role modeling positive eating and
physical activity behaviors, using positive strategies to improve eating
behaviors of children, children - improved dietary and physical activity
behaviors
Healthy Communities
Community coalitions form, meet and set an agenda to address the issue of
childhood overweight by creating environments that promote healthy eating
and physically active lifestyles
Evaluation Plan:
Formative - focus group interviews, needs assessment form completed by
current participants, pilot testing and review for revisions as needed
Process - Use the Extension Accountability Reporting
System to document
participation and inputs
Outcomes - immediately after the program - change in knowledge and skills
needed to change behavior, as well as changes in motivation, self efficacy,
and normative and control beliefs
Impact - Pre/post test design food frequency questionnaires, behavior
checklists, activity logs as well as retrospective and reflective
questions at longer term follow up to assess behavior change in food intake
or physical activity levels
Who will be on the design team? includes campus and field collaboration
Kari Beran, LeAnn Evans, Karin Ihnin, Marilyn Maiser, Sharon OGorman,
Glenyce Vangsness-Peterson Mary Schroeder Field faculty, Craig Hassel,
Marla Reicks Campus faculty
Has a business plan been developed or will you need to develop one?
A business plan will need to be developed for both Track One and Two Our
initial thoughts are to sustain this program on a preliminary basis with
ongoing program support funding from the capacity area Fees charged for
programs for Track One may be used to cover costs of developing programs in
Track Two The business plan will include funds required for the needs
assessment/market research process, assessment
of target audience and
capacity to pay fees, assessment of competitors offerings, financial
support needed and revenue that could be generated, and promotion/marketing
expense
How will you use new technologies?
This will be determined based on the needs assessment results for Track
Two
How will the program reach underserved audiences?
A wide range of locations within districts will be targeted for the
delivery of the programs in Track One They will include metro and rural
areas with underserved audiences
Is the program multi-disciplinary and/or involve multiple capacity areas?
The program will be developed in collaboration with Family Relationship
REEs in the Family Development capacity area, Food Science REEs in
Agriculture, Food and Environment capacity area, and 4-H educators
For which round of grants are you applying? November 30, 2002
Budget:
|Ongoing program support: Track One |
|Travel funds for meetings in central location for REEs and campus|1,800 |
|faculty to develop programs 3 face to face meeting at 600 each| |
|3 phone conferences at 100 each |300 |
|Postage to mail publicity
announcements for programs 50 per |350 |
|district | |
|Media announcements of programs 100 per district |700 |
|Brochure development and distribution, display development |1,000 |
|Technology consultation to develop programs/materials |500 |
|ITV satellite fees for spring conference |4,000 |
|Total |8,650 |
| |
|Emerging program support: Track Two |
|Travel funds for meetings in central location for REEs and campus|1,800 |
|faculty to develop programs 3 face to face meeting at 600 each| |
|3 phone conferences at 100 each |300 |
|Purchase existing curricula 2,000 |2,000 |
|Staff development funds for four educators to attend a national |6,000 |
|conferences on strategies to address childhood obesity 1,500 | |
|per conference | |
|These conferences
could include the Food and Nutrition Service | |
|FNS, USDA national nutrition education conference, Nutrition | |
|Connections: People, Programs, and Science, February 24-26, 2003| |
|in Washington, DC and the Society for Nutrition Education | |
|Annual Meeting in Philadelphia in July | |
|Incentives 10 each for focus group participants 3 per |1,470 |
|district, 6-8 participants per group 10 X 3 per district x 7 | |
|participants x 7 districts 50 supplies per district | |
|Supplies for focus group interviews 60 per district |420 |
|Clerical time to transcribe the focus group interview audiotapes |1,575 |
|21 focus groups x 5 hours each at 15/hour | |
|Total |13,565 |
References
1 US Department of Health and Human Services 1996 Physical activity
and health: a report of the Surgeon General Atlanta, BA Centers for
Disease Control and Prevention wwwcdcgov
2 Bowman S, Lino M, Gerrior S, and Basiotis P 1998 The Healthy Eating
Index: 1994-1996 US Department of Agriculture, Center
for Nutrition
Policy and Promotion, CNPP-5
3 National Center for Health Statistics, Centers for Disease Control and
Prevention Prevalence of overweight among children and adolescents: US,
1999 Accessed at
http://wwwcdcgov/nchs/products/pubs/pubd/hestats/overwght99htm on March
16, 2001
4 National Center for Chronic Disease Prevention and Health Promotion,
Center for Disease Control and Prevention Obesity and Overweight - A
Public Health Epidemic Accessed at:
http://wwwcdcgov/nccdphp/dnpa/obesity/epidemichtm on January 9, 2002
5 Minnesota Department of Health Health Care Costs of Physical
Inactivity in Minnesota Fact Sheet, May 15, 2002, Family Health Division,
St Paul, MN wwwhealthstatemnus
6 Frazao E High costs of poor eating patterns in the US In Americas
Eating Habits: Changes and Consequences E Frazao, Ed Economic Research
Service, USDA Washington, DC, USDA, 1999 Agriculture Information
Bulletin No 750, pp 5-32
7 National Osteoporosis Foundation Osteoporosis Disease Statistics: Fast
Facts Accessed at: http://wwwnoforg/osteoporosis/statshtm on January
10, 2002
Source:uihi.net
