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Community Project

Community Project. Danielle Conely, Mary DeWitt, Caroline Haugen, Tracie Peterson, Terri Sand, LETICIA Suarez and Tonya Thompson.

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Community Project

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  1. Community Project Danielle Conely, Mary DeWitt, Caroline Haugen, Tracie Peterson, Terri Sand, LETICIA Suarez and Tonya Thompson

  2. Risk of excess rates of DM type II in elementary school children enrolled in Martin Luther King, Jr. Leadership Academy R/T excess caloric intake, choice of low nutrition high calorie foods, low rates of physical activities and presence of empty calorie alternatives in schools AEB high BMI rates, low rates of participation in physical activities. Problem statement

  3. This statement sets the groundwork for our community health project. According to Marjorie Muecke, the community health diagnosis is the fulcrum that balances data with programs in the practice of community health nursing.

  4. Getting Started • Martin Luther King, Jr.Leadership Academy • Permission will be sought from the superintendent of Grand Rapids public schools and Trica Mathes (School Principle). • Geopolitical community similar to studies used. • Urban school district • Therefore interventions will seek to reach school age children from • approximate 5 years old to ages 11-12. • Interventions must be 6 months long and introduction of education through a curriculum seems to be the best approach (DeMattia, 2007)

  5. “Martin Luther King, Jr. Leadership Academy is a beautiful, new state-of the-art facility serving students in grades preschool through eighth, including a moderately cognitively impaired classroom” (Martin Luther King, 2011). • This Grand Rapids Public School in an urban community is especially used for this program due to the increased parental involvement, as evidenced by 100% parent teacher conference participation. Martin Luther king jr. leadership academy

  6. Decreasing BMI (body mass index) Intervention identified

  7. When assessing the issue of childhood obesity, the dietary habits of the family must be taken into consideration. Parents of children can help to incorporate healthy eating habits into the home. Childhood Obesity

  8. Healthy Eating Habits

  9. Providing the children with plenty of vegetables, fruits, and whole-grain choices. • Using low-fat or fat-free dairy products. • Choosing meats that are lean, such as; poultry and fish, and also including eggs. • Consuming beans, soy products, and nuts for protein. • Limiting the daily calorie consumption of young children to 1,000 to 2,000 calories, and 1,400 to 3,200 calories for older children and adolescents. • Limit the amount of saturated fats, sugar, and salt consumed. Offer healthy snacks instead of high-fat, high sugar choices. tips

  10. PARENTAL SUPPORT INFLUENCES NUTRITIONAL CHOICES FOR CHILDREN

  11. By the time children enter kindergarten their food preferences and the social context associated with food intake are established. Parental involvement in weight control measures influence childhood obesity rates (Berkowitz)

  12. Regular Physical activity Engage in an age appropriate activity Parental INFLUENCES

  13. The child and family will become more mindful of what they ingest, and it will make them more aware of the usefulness of the food they eat for their bodies. • Eating more nutritious foods can become part of a life-long approach to healthy eating. • By adopting these habits, the health risks of the child will diminish, self-esteem will increase, and a new appreciation for • food and the nutritional • value of it, will be • fostered.

  14. Studies have shown that foods to which children are routinely exposed, shape preferences and consumption. Children are likely to eat foods that are available and easily accessible to them and to eat greater quantities when larger portions are provided(Berkowitz)

  15. Childhood obesity interventions can focus solely on changing dietary behaviors, but in order to ENHANCE IMPACT THESE MUST BE COUPLED WITH CHANGING PHYSICAL ABILITY BEHAVIOR. Nutrition and physical activity

  16. A two-fold approach Nutritional Education A comprehensive curriculum based program that includes: 1 .Nutrition Knowledge 2. Food Label Reading 3. Body image 4. Self-monitoring of food consumption 5 .Healthy eating at fast food restaurants Increased Activity An activity program that rewards children when they continue to increase activity.

  17. Lewin’s Model of change is a theory that can be utilized to create change at the community level. Three-step Process Unfreezing Changing Refreezing Lewin’s Model of Change

  18. Booths Diabetes in Children BMI Measurements Eating Healthy Foods/Making Healthy Choices Physical Activity Parental Guidance • Activities Healthy Food Recipe and Sampling Vouchers for Fruits and Vegetables Professional Trainer-Kids in Motion The Bounce House Face Painting Door Prizes THE Health fAiR

  19. Implemented by elementary school teachers Curriculum design in collaboration with nutritionist. • Expands on current Kent County nutrition resources such as : • Team Nutrition • Elementary Nutrition Education Series SCHOOL INFLUENCES

  20. Expansion of “Stepping Up” pedometer challenge. • Each child enrolled in the program will receive a pedometer. • Students will record their daily step totals on an activity log. • At the end of the challenge the top two classes will receive money to spend on items that encourage physical activity. With the addition of: • Weekly individual prizes for children who increase individual activity weekly. The pedometer challenge

  21. After 6 months interventions will be evaluated for effectiveness: • Children will be knowledgeable of healthy foods as evidenced by healthy food choices. • Children will identify poor food choices as evidenced by food label reading. • Children will display comfort in personal body image as evidenced by positive, confident, interactive behavior. • Children will participate in self-monitoring of food consumption as evidenced by food consumption logs. • Children will make healthy food choices when eating at fast food restaurants as evidenced by choices made. • Children will display increased activity as evidence by activity logs. Effectiveness

  22. Reduction in Obesity as evidenced by: -Lower BMI, reduction of the proportion of children who are obese (BMI>30 ) by 5% by December 2012. -Decrease the incidence of diabetes by 2% in Kent County by December 2025. Outcomes

  23. School Nutrition and Physical Activity Policies, Obesogenic Behaviors and Weight Outcomes Community-Based Partnerships for Childhood Obesity Prevention and Control: Research to Inform Policy Grants Translational Research for the Prevention and Control of Diabetes and Obesity

  24. Bellows, L. & Roach, J. (May 2009). Childhood Overweight. Retrieved from http://www.ext.colostate.edu/pubs/foodnut/09317.html Berkowitz, B., Borchar, M.,, “Advocating for the Prevention of Childhood Obesity: A Call to Action for Nursing” OJIN: The Online Journal of Issues in Nursing Vol. 14, No.1. Manuscript 2 Centers for Disease Control and Prevention. (2011). Tips for Parents Ideas to Help Children Maintain a Healthy Weight. Retrieved online October 24, 2011 from http://www.cdc.gov/healthyweight/children/#prevention DeMattia, L., Lemont, L., & Meurer, L. (2007). Do interventions to limit sedentary behaviors change behaviour and reduce childhood obesity? A critical review of the literature. Obesity Reviews, 8(1), 69-81. Department of Health & Human Services. (2011). Funding Opportunities & Notices Search Results. Retrieved from http://grants.nih.gov/grants/guide/search_results.htm Harkness, G.A. & DeMarco, R.F. (2012). Community and Public Health Nursing Evidence for Practice. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. References

  25. Martin Luther King, Jr. Leadership Academy. (n.d.). Grand Rapids Public Schools. Retrieved October 29, 2011, from http://grpublicschools.org/mlk References Muecke, M., A.,(1984). Community Health Diagnosis in Nursing. Public Health Nursing, Blackewell Scientific Publications,1(1),23-35. U.S. U.S. Department of Agriculture. (2010). Dietary Guidelines for Americans 2010. Retrieved online October 24, 2011 fromhttp://www.cnpp.usda.gov/Publications/DietaryGuidelines/2010/PolicyDoc/PolicyDoc.pdf • Woodman, J., Lorenc, T., Oakley, A., & Harden, A. (2008). Social and environmental interventions to reduce childhood obesity: a systematic map of reviews. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University of London.

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