Developed by the Minnesota Department of Health LANA Preschool Program Acknowledgements Minnesota Department of Health, Center for Health Promotion University of Minnesota, School of Public Health New Horizon Academy and child care centers With contributions from early childhood specialists and curriculum developers along with a professional graphic designer *Many different individuals in the organizations listed above were instrumental in the development, testing and success of the LANA Preschool Study and Program. Funded by a grant from National Cancer Institute (R01 CA59805) Training Outline Overview Daily Activities – – Weekly Activities – – Curriculum Theme Units Periodic Activities – Tasting Cooking Monthly Activities – Food Service Mealtime Interactions Family materials and events Planning & Logistics Objectives 1. 2. 3. 4. 5. 6. Understand the importance of F/V consumption Understand the importance of mealtime interactions Be prepared to offer additional F/V at meals and snacks Be prepared to offer tasting and cooking activities Be prepared to offer LANA curriculum Be prepared to offer family engagement materials and events Why is eating fruits and vegetables important? Eating f/v reduces risk for cancer, heart disease, stroke and diabetes Eating f/v promotes healthy weight Eating f/v is one of the most important things to do to protect your health! Fruit & Vegetable Serving Sizes Adult Portions: Child-Sized Portions: – 1 medium piece of fruit – – ½ cup cooked, canned, raw fruits or vegetables (1/2 cup = a light bulb) Rule of Thumb: One childsized portion = 1 Tbsp. per year of life – 1 cup leafy greens (1 cup = size of an adult fist) 1 Tbsp = size of an adult thumb tip – 2 Tbsp = size of a ping-pong ball – 4-6 oz. juice max per day – – 6 oz. (¾ cup) juice – ¼ cup dried fruit (1/4 cup = size of an egg) LANA Program Overview A program for children, parents and teachers in childcare settings to: – Eight “target” fruits and vegetable selected: 1. Apricots Increase children’s exposure 2. Broccoli to a wide variety of fruits and 3. Cherry Tomatoes 4. Kiwi 5. Strawberries 6. Sugar Snap Peas Decrease children’s 7. Sweet Potato pickiness & neophobia* 8. Sweet Red Pepper vegetables – Increase children’s consumption of fruits & vegetables – Selection of Target Fruits and Vegetables Emphasis on vegetables Multiple exposures to a new food in a supportive environment Builds on the work of Dr. Leanne Birch on taste preference and acquisition by young children Criteria for selecting F/V Dark green and orange vegetables Nutrient content: – Vitamin A, C and E, beta carotene, lycopene and lutein – Fiber Availability and frequency of F/V on existing child care center menus Feasibility of use in child care settings Preference data of young children from prior study Past experience with F/V consumption of young children Study Results Children in the intervention group compared to the control group: Ate more vegetables at lunch* Ate more fruits and vegetables at snack** Ate more dietary fiber*** *p = .004 **p = .058 ***p = .023 Parents of the children who received the program reported: A significant increase in serving of f&v at home* Children ate more of the targeted f/v at home** Children were significantly less picky eaters Children were significantly less fearful of new foods *p= .017 **p= .0001 Program Activities 1. 2. 3. 4. Daily menu changes Weekly tasting and cooking Monthly LANA curriculum theme weeks Periodic family events and communication Family Involvement Periodically F/V Theme Weeks Monthly F/V of the Week Tasting & Cooking Weekly Menu Changes Daily How can children learn to eat more fruits and vegetables? Support for eating fruits & vegetables – – – Encouragement Reinforcement Positive interactions Opportunities to eat fruits & vegetables – At lunch and snack Modeling: seeing others eat fruits & vegetables – Everyone eats fruits and vegetables (friends, parents, and teachers!) Experiences with fruits & vegetables – Through cooking, books, and materials “S.O.M.E.” Daily Activities Menu and mealtime Daily Activity Goals 1. Serve four of the target fruits and vegetables at lunch or snack every week (Rotate so all eight f/v served every two weeks) 2. Serve 1 or more fruit or vegetable at snack every day 3. If allowing children to self-serve, use age-appropriate serving utensils Sample Menu Changes Lunch Turkey Rice w/ Gravy Dinner Roll Peas Rosy Applesauce Milk Sweet Potatoes Snack Cherry Tomatoes w/ Dip Hard Cooked Eggs Brownies Milk Menu Changes Post the Menu for Parents – Show Patience – Post menus in your home or send a copy home to parents Children are not likely to make changes immediately. Keep offering new f/v Help Children have Positive Experiences – – – Be a good role model - Eat f/v yourself! Encourage children to take and taste the new f/v Praise children for tasting and eating new f/v Mealtime Interactions Creating a supportive mealtime environment Parents and Children Sharing Food Tasks Mitchell, RA, and University of California EFNEP (1998) Mealtime Interactions Parents’ and Caregivers’ Responsibility: – What food is served – When and where food is served Child’s Responsibility: – How much to eat – Whether or not to eat Tips for Positive Mealtime Interactions Encourage through words Encourage through behavior Encourage through environment Tips for Positive Mealtime Interactions Encourage through words – – – Encourage and praise for tasting f/v Avoid rewarding as this can backfire Talk positively about f/v at meals and snacks Tips for Positive Mealtime Interactions Encourage through behavior – – – Be a good role model Offer child-size portions Involve children in preparing f/v Tips for Positive Mealtime Interactions Encourage through environment – – – – Offer f/v every day at meals and snacks Give children many opportunities to taste f/v Create supportive environment for eating f/v Encourage children to serve themselves To Review… Adults are responsible for: What food is offered When food is served Where food is offered Children are responsible for: How much food is eaten Whether or not they eat Stretch Break! Weekly Activities Tasting and cooking fruits and vegetables Fruit / Vegetable of the Week Each week, one of the target fruits or vegetables is “featured” – – 1 tasting activity (for the first 16 weeks) 1 cooking activity (every week during the program) Each will be featured 3 times during program Provides many opportunities for children to taste the new fruits & vegetables Target Fruits and Vegetables Broccoli Apricots Cherry Tomatoes Kiwi Sugar Snap Peas Strawberries Sweet Potatoes Sweet Red Pepper LANA Tasting Activities Purpose – Provide opportunities for children to taste new fruits/vegetables in an activity format each week – Help children become familiar with new fruits/vegetables Benefits – Children are encouraged to taste small portions – Fruits/vegetables offered in a fun activity format – No pressure to eat – Acceptance, increased willingness to taste new foods Tasting Activity Logistics Purchase the fruit/vegetable for activity each week Wash and prepare the fruit/vegetable to be tasted Gather tongs, containers, gloves, napkins, plates as needed Invite children to wash hands and gather for activity Try using Lana to announce the activity: “I heard you are going to taste a vegetable today. Can I join you? I know what it is. Can you guess?” Experiment with other ways to introduce the fruits & vegetables Tasting Activity Demonstration Tasting Essentials Top 5 List #5 Separate Time for Tasting Offer tasting activities separate from meals, snack & cooking activities #4 Build Anticipation Use Lana to introduce Ask questions about the fruit/vegetable Make fruit/vegetable visible before tasting time #3 Offer small amounts 1 broccoli floret 1 cherry tomato half 1 sweet potato chunk 1 peapod 1 red pepper strip 1 apricot half 1 kiwi wedge 1 strawberry half #2 Encourage, don’t pressure Encourage and praise for tasting Talk positively about fruits/veg. “I’d like you to try it and you can have as much as you’d like.” Be a good role model Encourage children to serve themselves - Have a bowl of fruits/vegetable for children to serve themselves #1 MAKE IT FUN! Bring out the aprons and chef’s hats Pick a child helper or two to serve Use stickers when a child tries the f/v Use the taster’s choice chart Any other ideas? LANA Cooking Activities • Give opportunities to prepare new fruits/veg. • Allow children to touch, smell, and taste fruits/veg. • Increase familiarity with fruits/vegetables • To have FUN and increase self confidence • Done Every Week • Each of the 8 targeted fruits/vegetables will be featured 3 or more times • There are at least 3 different cooking activities for each fruits/vegetables • Recipes range from very simple to more complicated • You may move from the simple to more complicated recipes or repeat one or two of them Cooking Activity Logistics Be sure to purchase the fruits/vegetables for activity each week Make sure prep is done before inviting children to sit down for activity Use photo cards to show the finished product (children need a vision!) Demonstrate simple snacks and then have children make their own For salads and other “community” dishes, involve children as much as possible in measuring, pouring, and stirring Set a regular schedule for cooking and tasting Cooking Activity: Mouse Tail Snack 1 graham cracker square 1 tablespoon whipped berry cream cheese ½ strawberry 2 sunflower seed “mouse ears” 1 string of cheese “tail” Cooking Activity Demonstration Apricot Recipes Broccoli Recipes Red Pepper Recipes Kiwi Recipes LANA COOKING ACTIVITIES: TOP 5 LIST #5 Plan Ahead DECIDE: • Day & time for cooking activity BE SURE: • Ingredients will be available • Arrangements have been made for any necessary prep ON THE DAY OF THE ACTIVITY: • Gather ingredients • Gather other materials (photo card, recipe, plates, etc) before kids sit down for activity #4 Let Kids Decide #3 Make the Connection #2 Demonstrate #1 Kids as Cooks Monthly Activities Fruit and vegetable curriculum theme units LANA Theme Units 1. Eating the Alphabet (kiwi) Introduces Lana the iguana 2. Vegetarian Animals (broccoli) Animals eat fruits and vegetables 3. Our Senses Teach Us (sweet potato) Using the 5 senses to learn about fruits & vegetables 4. Inside Outside (sweet red pepper) Identifying and sorting fruits & vegetables 5. Growing Things (sugar snap peas) How fruits and vegetables grow 6. Foods for Everyone (cherry tomatoes) Families eat and enjoy different types of fruits and vegetables Theme Unit Overview Offered once a month Incorporate the weekly cooking and tasting activities with fruit and vegetable-themed stories and other special classroom activities to teach children about fruits and vegetables Include at a minimum: – Continue menu changes, cooking projects and tasting activities – At least one activity using the Lana the Iguana puppet – Read the feature LANA story aloud with the children – Read at least 2 of the storybooks recommended for each theme – Complete at least 1 additional theme activity Program Materials Many of the storybooks featured in the theme units will be available at your local library Other materials: – – – – – – Program manual Lana the Iguana puppet Fruit and vegetable models LANA Stories other theme-related books Parent materials (Parent’s Talk, Take-home Kits, Theme unit letters) Periodic Activities Engaging Families Family Resources 1. Parent letters 2. Take-home tasting kit 3. Parents Talk brochures 4. Lana Stories 5. Lana’s Favorite Recipes cookbook Theme Unit Eating the Alphabet Vegetarian Animals Our Senses Teach Us Inside/Outside Growing Things Foods for Everyone LANA Story Introduce Lana the Iguana Lana & Willie Eat Lunch Lana Plays a Trick on Tenzin In & Out with Lana & Carlos Lana and Alisha Plan a Garden Lana’s Learners Activity Book Let’s Taste Kit Parents Talk Fruit Basket Issue 1 Broccoli Issue 2 Sweet Potato Issue 3 Red Pepper Issue 4 Sugar Snap Peas Issue 5 Cherry Tomatoes Cookbook Special Events Three special events: – Team Tasting Challenge Beginning of the program – Parent Discussion Group Program midpoint – Family Cooking Tour Finale End of the program Team Tasting Challenge Introduces families to the LANA Preschool Program Children visit tasting stations with their family Families can receive further information about program activities and tips on feeding children. Parent Workshop An opportunity for parents to come together with other parents to discuss the child feeding issues they face Participants also learn: – – the division of responsibility in feeding children how they can help their children develop healthy eating habits. Family Cooking Tour Finale Celebrates the children’s participation in the LANA Preschool Program. Encourages families to explore cooking with their children. Children demonstrate how to make some of the LANA recipes Children decorate the covers of their copy of Lana’s Favorite Recipes to give to their families at the Cooking Tour. Planning & Logistics Preparing to offer the LANA program Planning Logistics As you begin the LANA Preschool Program, you will be planning for four primary types of program activities: – Daily o – Weekly o o – Tasting Activities Cooking Activities Monthly o o – Menu Changes Theme Units Family Resources Special Events o o o Team Tasting Challenge Parent Discussion Group Cooking Tour Finale Sample Program Timeline Week Veg / Fruit Suggested Classroom Take-Home Materials of the Week Cooking Project Tasting Month 1 Week 1 Kiwi (A) Week 2 Sweet Potato (B) Week 3 Sugar Snap (A) Peas Week 4 Strawberries (B) Month 2 Week 5 Apricots (A) Week 6 Broccoli (B) Week 7 Sweet Red (A) Pepper Week 8 Cherry (B) Tomatoes Kiwi Smile Snacks Kiwi Parent Letter Fruit Basket Sweet Potato Parents Talk #1 Special Events Eating the Alphabet Theme Week Sweet potato spread Vegetables flowers Sugar Snap Peas Mousetail Snacks Strawberries Pretend egg sandwich Broccoli forest Red pepper wrap Cherry tomato kabobs Apricots Broccoli Parent Letter Take-Home Tasting Kit Sweet Red Parents Talk #2 Pepper Cherry Tomatoes Vegetarian Animals Theme Week Family Event: Team Tasting Challenge Managing Program Costs Consider: Menu changes: Account for the reduced cost of foods not purchased as well as the cost of new food items Classroom activities: “foods” treated as supplies rather than part of the food budget Borrow books from local library Evaluation and Wrap up Plans for program evaluation Please fill out the training evaluation Questions? Thank you! LANA curriculum available at: www.health.state.mn.us/mnpan Questions? Health.healthyeating@state.mn.us Taped at MTN Studios, Minneapolis 3/2010