HEALTH LITERACY: A Multigenerational Approach to Decreasing Obesity in Elementary School-Aged Students presented by: Joy P. Deupree, PhD, MSN, APRN-BC November 4, 2014 FUNDING Community Health Scholars Grant $20,000 With additional funding via various proposals from the community $74,000 INTRODUCTION Alabama ranks 2nd in the nation for obesity rates (33.3%) Surveys of students in Sylacauga, Alabama elementary schools indicate 32.8% of students are overweight or obese. INTRODUCTION (continued) The National Assessment of Adult Literacy (2003) estimates 57% of the adult population in Alabama performs at the lowest literacy levels of basic and below basic. The IOM National Action Plan to Improve Health Literacy supports efforts to use targeted, tailored programs to improve health literacy noted that "K-12 schools should incorporate health education into existing science, math, literacy, social studies, and computer instruction in grades K -12 by embedding health-related tasks, skills, and examples into lesson plans." PARTNERS The Sylacauga Alliance for Family Enhancement (SAFE) is a community-based, nonprofit organization whose purpose is to provide meaningful opportunities for families to contribute to the growth of the community, to serve others, and to promote community cohesion. The mission of SAFE is to support families because children from resilient families have the best opportunity to succeed. SAFE, as a non-profit administers the Get Healthy Talladega County Consortium which partners with the Talladega County Health Department, Citizen’s Hospital of Talladega, Coosa Valley Medical Center in Sylacauga, Talladega and Sylacauga Chambers of Commerce as well as the entire school system for the county of Talladega. PINECREST ELEMENTARY SCHOOL ONE OF TALLADEGA COUNTY SCHOOLS, LOCATED IN SYLACAUGA CITY SYSTEM GRADES TOTAL 550 3-5 ENROLLMENT APPROXIMATELY THE INTERVENTION-KIDS COMMUNITY GARDEN AT THE SCHOOL SEED TO PLATE NUTRITION CURRICULUM COOKING CARTS PURCHASED OTHER SUPPORTIVE GRANTS PRODUCE DELIVERED WEEKLY FRUIT TREES ADDITIONAL GARDEN SUPPLIES AND MORE THE INTERVENTION-CAREGIVERS PARENTAL CLASS I-Introduction of the program followed by the how and why obesity develops and best practices regarding nutritional choices; i.e. BMI, NUTRITION, SATURATED FATS etc. PARENTAL CLASS II-THE DISEASE CONNECTION OF OBESITY FROM CHILDHOOD Multi-Methods Design Characterized by using two research methods, this approach used qualitative and quantitative methods to obtain more detailed specific information. Multimethodology is desirable and feasible because it gives a more complete view, and because the requirement during the different phases of the intervention (or research project) make very specific demands on a general methodology QUANTITATIVE MEASURES BODY COMPOSITION NUTRITION ASSESSMENTS WITH SEED TO PLATE CURRICULUM PHYSICAL ASSESSMENT FOR FITNESS NEWEST VITAL SIGN HEALTH LITERACY ASSESSMENT QUALITITATIVE MEASURES Surveys with open-ended questions administered to parents/caregivers pre- and post-intervention intervention to assess their knowledge, attitudes, and behaviors regarding nutrition, exercise, and healthy living LESSONS LEARNED AMAZING WHAT ENGAGED COMMUNITY CAN DO TAKE A TEAM OF WORKERS TO MEASURE STUDENTS AND RECORD FINDINGS HAVE SPECIFIC DATES ESTABLISHED IN AND AGREED UPON CONTINUE TO ENGAGE PARENTS AND OFFER GREATER INCENTIVES OTHER FUNDING Grant Agency Name of Grant Amount Administrato r of Award $6,300 Pam Roberts Blue Cross Blue Be Healthy Grant-Exercise equipment, miscellaneous Shield Pinecrest office/meeting supplies, garden supplies/tools-8 elliptical machines are now being used for a before and after school program for exercise implemented by Lead Teacher Pam Roberts. Active Schools Let’s Move!-Used for needed equipment and supplies that $1000 Pam Roberts Pinecrest Acceleration apply to implementation of exercise program-emphasizes Program movement in the classroom such as squats with skip counting or graphic times from students’ participation of the Eagle Tree Stand. $1000 Alabama Power “Good Roots” grant to provide fruit trees for Sylacauga SAFE/ Company Grows Community Garden and for the Pinecrest school Margaret garden. Saplings were punched for the parents/children Morton participating in the Pinecrest UAB grant project. The project is titled “Take Root With Sylacauga GROWS” Institute for Wellness, Academics & You (WAY)-used for nutrition based $24,500 SAFE/ America’s curriculum to improve KAB for grade school students Margaret Health related to fruits and vegetables. Morton Wal-Mart/The Way To extend two raised beds funded by the $4000 UAB grant to a landscaped/paved outdoor classroom that includes a butterfly and herb garden with other fruits and vegetables per season. Anticipate more funding from this resource. SAFE/Margaret Morton USDA Fresh Fruit and Vegetable Program Pinecrest Orchard- Each week the school $25,429.73 Kelley receives a fresh shipment of fruit and/ or Wassermann, vegetables for each student. For Director Child example: when fresh corn on the cob was Nutrition shipped, a demonstration was done by a Program for representative with the USDA program Sylacauga City and the students were able to participate Schools Programs. in the roasting and eat the corn fresh as it was coming off of the roaster. Mr. Taylor Pursell Private Donation used for incentives for parents to participate in the Pinecrest Obesity study approx. $840; Gardner Mr. Bill Roberts Horticulture Specialist approx. $360; Special Services Coordinator Debbie Adair $390 and Executive Director $420. $2000 SAFE/Margaret Morton WHAT’S NEXT??? Other funding in place via Community Resource Center Complete the data analysis- November Develop manuscript and submit for publication December