Unclear Ø Unclear with no evaluations or mixed results Targeting Lifestyle Change Obesity Nutrition / Diet Physical Activity Medical setting Middle Childhood Parents of Children Emotional Competency Parenting TARGET AUDIENCE This program is for children receiving primary care at the Children's Hospital Primary Care Center in Boston, Massachusetts, and their parents. SUMMARY The Targeting Lifestyle Change (TLC) program is a primary care-based program that focuses on building child self-esteem, improving parenting skills, and supporting family lifestyle changes related to nutrition and physical activity. EVIDENCE A public search yielded no peer-reviewed publications evaluating the effectiveness of this program. COMPONENTS The TLC program is designed to improve nutrition/diet, increase physical activity, build emotional competency, and improve parenting. Specifically, the program seeks to improve overall diet composition, increase the amount of time participants are physically active each day, build child self-esteem, and strengthen parents' ability to support positive family lifestyle change. Children attend a series of sessions with various topics. Practice setting health-related goals; Discuss body image/size acceptance; Learn strategies to cope with teasing, emotional eating, media influence, and the challenges of making lifestyle changes; and Engage in a variety of physical activities (e.g., karate, hip-hop dance, yoga) to identify options they enjoy. Parent sessions focus on the following topics. Discuss general parenting guidance; Receive nutrition education; Provide support to children coping with issues such as teasing; and Help the family attain a healthier lifestyle. PREVIOUS USE The TLC program has been available since 2007. www.militaryfamilies.psu.edu Clearinghouse@psu.edu 1-877-382-9185 June 2013 This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children, and Youth, U.S. Department of Defense under Award No. 201048709-21867 developed in collaboration with The Pennsylvania State University. Unclear Ø Unclear with no evaluations or mixed results Targeting Lifestyle Change Obesity Nutrition / Diet Physical Activity Medical setting Middle Childhood Parents of Children Emotional Competency Parenting TRAINING Training is not necessary as the program is delivered entirely by the Children's Hospital Primary Care Center in Boston, Massachusetts. CONSIDERATIONS Considerations for implementation of the TLC program include understanding this program is available only to families referred by their primary care providers at the Children's Hospital Primary Care Center in Boston, Massachusetts. The Clearinghouse can help address these considerations. Please call 1-877-382-9185, or email Clearinghouse@psu.edu IMPLEMENTATION If you are interested in implementing the TLC program, the Clearinghouse is interested in helping you! Please call 1-877-3829185, or email Clearinghouse@psu.edu The program is implemented for 8 weeks in after school sessions. Please contact Laura Edwards-Leeper, TLC Program Developer, by phone 1-617-355-0580 for cost information. EVALUATION PLAN To move the TCL program to the Promising category on the Clearinghouse Continuum of Evidence, at least one evaluation should be performed demonstrating positive effects lasting at least one year from the beginning of the program or at least six months from program completion. The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185, or email Clearinghouse@psu.edu CONTACT Contact the Clearinghouse with any questions regarding this program. Phone: 1-877-382-9185 or by email: Clearinghouse@psu.edu You may also contact Laura Edwards-Leeper, TLC Program Developer, by phone 1-617-355-0580 or Alison Cella-Mowatt, One Step Ahead Program Assistant and Activities Coordinator, by phone 1-617-355-0992 or visit http://www.childrenshospital.org SOURCE http://www.childrenshospital.org www.militaryfamilies.psu.edu This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children, and Youth, U.S. Department of Defense under Award No. 2010-48709-21867 developed in collaboration with The Pennsylvania State University. June 2013