Volume 2 PROGRAM REPORT April 2015 Educating and engaging high school, middle school, and elementary school aged students in better nutrition Developed and delivered by MCCH’s Outreach Mission is to empower the community with the knowledge and means to manage daily choices involving their health through healthy lifestyle changes. Though kids teaching kidsSM is managed by MCCH its sustainability relies heavily on its advisory committee. kids teaching kidsSM Advisory Committee: Ryan Eason Rochelle Sangabriel, RD LD Carrie Zamora Sharon Van Meter Chere Vinson Program Director Medical City Children’s Hospital Registered Dietician Medical City Children’s Hospital Allen ISD Council of PTA’s Healthy Lifestyles President SVM Productions, LLC Lewisville ISD Council of PTAs Healthy Lifestyle Chair Kevin Payne Wendi Hatley Michele Carey-Davé Michel Coleman Jill Elliott, RD LD Executive Director, Greater Dallas Restaurant Association PE Coordinator Mesquite ISD VP Programs Plano ISD Council of PTA’s Healthy Lifestyles Chair at Evans Elementary in Allen, Texas Registered Dietician, Medical City Children’s Hospital Amy Hillin, RN, MSN, NCSN Allison Gutschlag Leigh Farley Shelia Gardner Coordinator of Health Services Achieve Academy Wylie ISD Frisco ISD Council of PTA’s Healthy Lifestyles Coordinator of Career and Technical Education Mesquite ISD Director of Coordinated School Health Frisco ISD TABLE OF CONTENTS Program Overview .............................................................................................. 2 What is kids teaching kidsSM? ............................................................................ 3 2014 Recap......................................................................................................... 4 Program Partners................................................................................................ 5 kids teaching kidsSM Program Publications ......................................................... 6 kids teaching kidsSM in North Texas .................................................................... 7 Educating Future Chefs ...................................................................................... 8 The kids teaching kidsSM 21-Day Challenge ....................................................... 9 The kids teaching kidsSM 21-Day Challenge Results ........................................ 10 The kids teaching kidsSM 21-Day Challenge Competition ................................ 11 Kids Fit Menu ................................................................................................... 12 Kids Fit Menu Challenge .................................................................................. 16 21 Day Challenge @ Work ............................................................................... 18 ..... Looking Forward ............................................................................................... .................. 19 About Medical City Children’s Hospital ........................................................... 20 SM Medical City Dallas Hospital s kids teaching kids Program Report 1 OVERVIEW Mission Statement “Our mission is to help kids develop life-long healthy eating habits. We partner with Texas ProStart culinary students to create kid-friendly, fun to make, fun to eat recipes featuring fruits and vegetables”. Medical City Children’s Hospital created kids teaching kidsSM in May 2010. For the past five years, the Med prog program has grown by leaps and bounds! As we reflect on our efforts this past year, we ask ourselves: Q Are we accomplishing our goal? Q Are we educating high school students? Q Are we helping kids make better choices during cho snack time? sna Q Are we creating a he healthier community with the com Kids Fit Menu at Kid restaurants? rest This report answers rs our questions, highlights hts our successes and summarizes mmarizes our plans to continue nue moving forward inn our endeavors. 2 April 2015 WHAT IS kids teaching kids SM? SM The kids teaching kids program offers children and Th their parents both knowledge and resources to change th their eating habits for the better. With childhood obesity more than tripling in the last 30 years, Medical City Children’s Hospital recognized the need to educate children and their parents about healthy eating habits, beginning with snacking. Medical City Children’s Hospital and the Greater Dallas Restaurant Association (GDRA) have partnered with high schools participating in Texas ProStart, a culinary SM program, to bring kids teaching kids to fruition. Culinary students work with a Medical City Children’s Hospital registered dietitian to learn some nutrition basics, how to read food labels and calculate nutrition facts for recipes. The students take that knowledge and create fun-to-make, fun-to-eat snack recipes featuring fruits and vegetables that elementary school age students can prepare themselves. With the help of graphic design students, these written recipes are combined with pictures taken by the school’s photography students and designed into a recipe book. The design file then goes to print and the recipe books are distributed to elementary school students in the same district. The program doesn’t stop there! The school districts are getting behind the cause and encouraging their students to participate in the 21-Day Challenge, an after-school snacking challenge designed to help students create new, healthier snacking habits. The positive impact that the high school students are having on elementary school age students is tangible. Through our data, we see kids are changing their ways of eating, and chefs are following suit in their ways of preparing. The culinary students’ snack creations featuring fruits and vegetables are now appearing on restaurant menus. The Kids SM Fit Menu program, an extension of kids teaching kids , is helping restaurants provide healthier options for their family customers. SM The kids teaching kids program is bringing nging communities c together in this cause to help children eat healthier. Because, healthy food isn’t just good for you, it tastes good too! SSM M Me Medical eddiica call Ci C City iity tyy D Dallas allla l s Hosp Hospital sppittal al s ki kids idss tteaching eeaach ching ki kkids dss P Program r gr ro g am Rep Report epporrt 3 2014 RECAP Kids are eating more fruits and vegetables! kids teaching kidsSM Publications -6 New Snack Books created Educating Future Chefs -332 future chefs learned to read a nutrition facts panel and calculate nutrition facts for recipes Culinary Students in the Community -ProStart culinary students taught healthy snack making to kids in 44 elementary schools 21-Day Challenge with Frisco ISD -4500 students signed up -900 students completed the challenge and survey -Before the challenge 83.2% said they ate healthy snacks Of those 83.2%, 88% said they were eating more fruits and veggies after the challenge And 74.2% said they tried a new fruit or veggie -Before the challenge, 16.8% said they did not eat healthy snacks Of those 16.8%, 83.6% said they were eating more fruits and veggies after the challenge And 67.1% said they tried a new fruit or veggie Kids Fit Menu -14,167 orders placed from Kids Fit Menus -6 Restaurant Partners -19 locations 4 April 2015 PROGRAM PARTNERS Medical City Children’s Hospital has partnered with several professional organizations to expand educational value via career opportunities within the kids teaching kidsSM program. Among these is the Texas Restaurant Association and its chapters, including the Greater Dallas Restaurant Association, who understand that workforce development is critical to the future of the restaurant industry Their philanthropic foundation, the Texas Restaurant Association Education Foundation works to provide educational opportunities for restaurant careers in Texas. The flagship program is Texas ProStart, a two-year industry based high school culinary and restaurant management curriculum. Currently Texas ProStart is in more than 200 high schools, reaching 20,000+ students annually. SM Medical City Dallas Hospital s kids teaching kids Program Report 5 kids teaching kids SM PUBLICATIONS Since 2010 Medical City Children’s Hospital has been working with culinary students from all over north Texas. All SM content in the kids teaching kids books – including the recipes, photography and graphic design is created by high school students. Each book can be downloaded for free at kids-teaching-kids.com. The two showcased below are from Frisco and Allen ISD. Cover Frisco THE BEST O kids F: T E A Allen C H I N G kids Cookbook.ind d 1 12/8/14 1 6 April 2015 kids teaching kids SM OUTREACH IN NORTH TEXAS Prosper Denton Frisco Lewisville Carrollton-Farmers Branch Ft. Worth H-E-B Irving Allen Plano Wylie Richardson Dallas Rockwall Mesquite 21 Day Challenge Participant Multi-year participant school districts Single-year participant school districts Desoto Dallas To learn more, visit the kids teaching kids website at www.kids-teaching-kids.com SM Medical City Dallas Hospital s kids teaching kids Program Report 7 EDUCATING FUTURE CHEFS A registered dietitian from Medical City Children’s Hospital visits Texas ProStart culinary students in their classrooms. The students get a hands-on learning experience as they are educated on understanding food labels, reading nutrition facts panels and calculating nutrition facts for recipes. We measure their learning by administering a 3-question survey prior to the learning experience. This same survey is repeated, approximately 3 weeks later, on the day the students present and demonstrate their snack recipes. Below is the data for 2014-2015 school year. 2014-2015 School Year The data shows that students are retaining the knowledge. These future chefs are gaining both knowledge and skills to take with them as they continue their education and ultimately, enter the culinary industry. 8 April 2015 THE 21-DAY CHALLENGE SM Each ISD that has participated in the kids teaching kids program with Medical City Children’s Hospital, has given positive feedback on their experience. But, how do we know that we are helping kids make better choices during snack time? In late spring 2013, the kids teaching SM kids advisory committee turned its focus towards answering this question. The result was the 21-Day Challenge. Every year, elementary schools and some middle schools in each ISD SM that has produced a new kids teaching kids cookbook are invited to participate. The challenge is to prepare and eat a healthy snack every day, for 21 straight days. The snack can be a recipe from any kids SM teaching kids snack book, the Healthy Snack Finder on our website or the student’s own creation but must contain fruit and/or vegetables. With the backing of Superintendents and the collaboration with PTAs and PE teachers, the following Dallas area ISD’s participated in The 21-Day Challenge during the 2014-2015 school year. FRISCO ISD ALLEN ISD ROCKWALL ISD LEWISVILLE ISD We are educating more kids each year by engaging them in the 21-Day Challenge 22,369 9,273 4,500 900 Signed-up Completed 2013-2014 School Year Signed-up Completed 2014-2015 School Year SSM M M Me Medical eddiiccaal al C Ci City ity Dallas Hospital s ki kids ids tteaching eeaacchhiinng ki kkids idss Program Report 9 THE 21-DAY CHALLENGE RESULTS During registration for The 21-Day Challenge, we asked the kids about their typical snack; was it mainly cookies, sodas, chips, or fruits/veggies. Three weeks after the challenge ended, we asked the same questions and this what we found: After the ChallengeCookie consumption was reduced by 16.0% Soda reduced 4.8% Chips reduced 13.0% Fruits/Veggies Ç 3.2% Data suggests some kids formed healthier snacking habits because se of of The 21-Day Challenge 50.2% TRIED A NEW FRUIT OR VEGETABLE DURING THE CHALLENGE Statistical analysis performed by: Joseph E. Zerwekh, Ph.D. Director, Clinical Research Morley Herbert, Ph.D. Biostatistician, Clinical Research 10 April 2015 THE 21-DAY CHALLENGE COMPETITION Adding a competition element to the challenge boosted the completion rate by 125%. The success of the 21-Day Challenge is catching on. In January of 2015, in partnership with Medical City Children’s Hospital and their respective Council of PTAs, two school districts cooked up a friendly competition. The quest was to see which district could have the greatest percentage of students participating in and completing the challenge. Frisco ISD Superintendent of Schools, Dr. Jeremy Lyon and Allen ISD Superintendent of Schools, Dr. Lance Hindt, personally participated and led their districts in The 21-Day Challenge. An unprecedented 19,069 students signed up for the challenge and 8,520 students completed the challenge and the survey. Our standard 21-Day Challenge with school districts resulted in Troy Villarreal, CEO Medical City Dallas Hospital, Keith Zimmerman, CEO Medical City Children’s Hospital, Congressman Sam Johnson, Dr. Jeremy Lyon, Frisco ISD Superintendent of Schools a completion rate of approximately 20%. Adding a competition element boosted the completion rate by 125%. Dr. Lance Hindt, t, Allen ISD Superintendent nt SM Medical City Dallas Hospital s kids teaching kids Program Report 11 KIDS FIT MENU In the fall of 2013, in partnership with the Greater Dallas Restaurant Association (GDRA), the Kids Fit Menu program was born! Medical City Children’s Hospital (MCCH) registered dietitians worked with local restauranteurs to incorporate snack recipes from the SM kids teaching kids program into a new kind of menu just for kids, the Kids Fit Menu. The Greater Dallas Restaurant Association has embraced this program and encourages their members to participate. 12 April Apri riil 2015 2015 20 15 1 or more servings of fruit/vegetables Tasting Event at Fish City Grill, Flower Mound, TX Each Kids Fit meal features 1 or more servings of fruit and/or vegetables and is nutritionally balanced to mirror the Dietary Guidelines for Americans, ages 2 and up. Each restaurant hosts a private tasting event prior to releasing their Kids Fit Menu. Medical City Children’s Hospital sends an announcement to all members of our City Kitty Club and their parents to participate. The first to respond get a reserved seat at the event. Up to 20 kids ages 4-12 taste and rate each new item that is in the running for the Kids Fit Menu. Their feedback helps determine which items make it to the final menu. Kid tested, dietitian titian approved! app Each Texas ProStart student chef is credited in print on the menu. SM Medical City Dallas Hospital s kids teaching kids Program Report 13 KIDS FIT MENU 10 restaurant partners/49 locations Growth More restaurant partners are joining the cause! In 2014 the Kids Fit Menu program grew from 1 restaurant with 6 locations to 8 restaurants with 27 locations. Now, in 2015 we have 10 restaurant partners with 49 locations that offer a Kids Fit Menu! Flower Mound Location Only 2013 14 Rockwall Location Only 2014 April 2015 Kids Fit Menu Sales 20580 Q1 2015 16871 Q4 2014 It is impressive to see the 12556 Q3 2014 positive impact that restaurants 10416 Q2 2014 are having on the health of their local communities through 8931 Q1 2014 Q4 2013 74,590 items ordered partnerships, not mandates! 5236 The proof is in the numbers. ORDERS 2015 Rounding up new partners in 2015... SM Medical City Dallas Hospital s kids teaching kids Program Report 15 KIDS FIT MENU CHALLENGE 5 restaurant concepts 5 Texas ProStart schools Rockwall HS Kicking it up a Notch! We have been so impressed with the talent and creative minds of Texas ProStart culinary students that we wanted to kick it up a notch. In the fall of 2014, Texas ProStart students, in partnership with MCCH, the GDRA, and local area restaurants, participated in The Kids Fit Menu Challenge. Irving HS We invited the top culinary students to engage with our local restaurant partners in creating Kids Fit Meals for each specific restaurant concept. The students wrote te recipes, calculated nutritionn facts and prepared theirr meal creations in “real-time” time” for each restaurant’s panel of judges. Jack E. Singley Academy Irving We matched up 5 schools with 5 restaurant concepts. As a result, 16 new menu items have been added to these restaurants’ Plano East Senior High Kids Fit Menus. The Colony HS Plano East Senior High 16 April 2015 SM Medical City Dallas Hospital s kids teaching kids Program Report 17 THE 21-DAY CHALLENGE AT WORK WHAT’S COOKING! Snacking is bad EVERYWHERE! Not only at home, in the schools, but also in the workplace. Welcome to a new branch of the kids teaching kidsSM tree, the 21 Day Challenge @ Work! It’s a program that engages adults at work to develop healthier snacking habits. Using recipes created by Texas ProStart SM students in the kids teaching kids program, the 21 Day Challenge @ Work succeeds by creatively enticing the palate, 21-Day challenge @ Work Snacking for S uccess. while being conscious of a busy professional’s tight schedule. Fruit or vegetable is a main component in every recipe, using fresh foods to promote better snacking options. By keeping ingredients and prep time to a minimum we are able to simplify healthy snack choices, fueling workers for an afternoon full of energy; an assertion that a sugar-filled vending machine snack simply cannot make. The program was piloted in November of 2014 and in the first quarter of 2015 eight top name companies will be participating. It is off no cost to the company and like the 21-Day Challenge at schools, we will be able to provide each company with personalized data regarding their employees’ successes. Be on the lookout in our 2016 report. Here is a list of companies participating: A7GZVain6Yk^hdgh!AAE 18 April 2015 LOOKING FORWARD As we move forward in our endeavor to help kids develop life-long healthy eating habits, we will SM continue to evolve and grow the kids teaching kids program. Medical City Children’s Hospital will extend our reach in educating and supporting communities that want to be involved in the 21-Day Challenge. Next year we project that the number of students participating in the 21-Day Challenge will more than triple, from 22K to over 75K. We will continue to fine tune our data collection methods to ensure that we are providing the most accurate data on how kids are changing their eating habits for the better. Medical City Children’s Hospital will continue to educate and support Texas ProStart students participating in the creation of snack books and Kids Fit Menu items. With the communities’ continued support, we will add more family restaurant partners to the cause, offering a nutritionally balanced Kids Fit Menu featuring fruits and vegetables. Ryan Eason Corporate & Community Outreach Medical City & Medical City Children’s Hospital E-mail: ryan.eason@hcahealthcare.com SM Medical City Dallas Hospital s kids teaching kids Program Report 19 ABOUT MEDICAL CITY CHILDREN’S HOSPITAL Medical City Children’s Hospital SM is a world-class pediatric hospital on the same campus as Medical City, a hospital of specialists. Our innovative, nurturing atmosphere revolves around a singular idea: Children aren’t just little adults. They have unique needs. That’s why we offer comprehensive prenatal and pediatric services in virtually every pediatric specialty and subspecialty—from many of the brightest minds in medicine. We treat everything from the routine to the unexpected, from birth to age 18. We also help kids stay healthy through prevention and wellness exams. For more than 25 years, our teams have helped thousands of children from more than 75 countries. Medical City Children’s Hospital specialists are at the forefront of medical technologies that enable early diagnosis and treatment. Our specialists work collaboratively and believe that open communication with parents and each child’s pediatrician contributes to better care. Patients also benefit from the care of nurses who are truly at the top of their profession, as demonstrated by our designation as a Magnet facility by the American Nurses Credentialing Center (ANCC). We provide pediatric care in an advanced, acute-care setting. Our staff includes pediatricians, pediatric specialists and subspecialists, pediatric nurses, pharmacists, Child Life specialists, respiratory specialists, occupational and physical therapists and social workers. 20 April 2015 SM Medical City Dallas Hospital s kids teaching kids Program Report 21