2006 TEAM NUTRITION TRAINING GRANT

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2006 TEAM NUTRITION TRAINING GRANT

• PROJECT RAVE
• Amey Herald, RD, Program Consultant
• for the Child and Adult Care Food Program, KY
  Dept. of Education

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USDA

• "This project has been funded at least in part
  with federal funds from the U.S. Department of
  Agriculture. The contents of this publication do
  not necessarily reflect the view or policies of
  the U.S. Department of Agriculture, nor does
  mention of trade names, commercial products, or
  organizations imply endorsement by the U.S.
  Government.

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USDA

• In accordance with Federal law and U.S.
  Department of Agriculture policy, this
  institution is prohibited from discriminating on
  the basis of race, color, national origin, sex,
  age, or disability.

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Background Framework

• Commonwealth of KY mid-decade review of Healthy
  Kentuckians 2010 Objective 2.3, Reduce to 5
  percent or less the prevalence of overweight and
  obesity (at or above the sex and age specific
  95th percentile of BMI from the revised NCHS/CDC
  growth charts) in children (aged 1-5 and 6-11).

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We Want Only the Best for KY Kids!

• CACFP staff routinely visit and review cc
  centers. While most meals served meet the USDA
  requirements, there is often room for improvement
  in nutritional quality.
• For example, snacks often served are juice and
  cookies or juice and crackers. There is room for
  much improvement. The nutrient content of snacks
  can increase!

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Background Framework

• We wanted to increase the extent to which
  children in childcare are exposed to nutrition
  education, physical activity and the best meals
  that can be provided

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COLLABORATION

• Save the Children U.S., Berea, KY- providing
  training and assistance in the Coordinated
  Approach to Child Health (CATCH) curriculum which
  has been successful in the CHANGE program.
• CHANGE Creating Healthy Active Nurturing Good
  Nutrition Environments- a physical activity and
  nutrition after school program with an emphasis
  on literacy. 65 model sites throughout rural
  America, including 33 in KY.

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CATCH Promotes Health

• The CATCH program is designed to increase student
  knowledge and behaviors related to improved
  physical activity and nutrition patterns
• Using fun, interactive and structured physical
  activities, classroom curriculum, food service
  and family involvement

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RAVE

• RACE FOR
• ACTIVITY WITH
• VEGGIES AND FRUITS FOR
• EVERYONE

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Who was Selected?

• The six childcare centers chosen for the project
  were
• Doris Maes Child Care, Louisville
• Hands and Feet Learning Center, Berea
• Henderson Settlement Inc., Frakes
• Kiddie College, Dry Ridge
• Manchester Center, Lexington
• Tammy Embrys Playschool, Leitchfield

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Criteria Used For Selecting

• Criteria used for selecting the child care
  centers included
• geographical location
• for-profit or non-profit status
• performance history being of good standing on the
  CACFP
• An average daily attendance of 40 or less.
• Several child care sponsors were given the
  opportunity to participate. These were the 6 that
  responded. Others declined due to staffing
  shortages, driving distance from Frankfort, etc.

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What is RAVE?

• Child care centers tighten up the snack
  standards.
• Child care centers provide 30 minutes of daily
  physical activity time in the form of games.
• Child care centers provide a nutritional lesson
  or activity daily.
• Parent outreach through take-home lessons,
  newsletters, displays and a family open house.

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Who is Targeted?

• Primarily school age children at the center in
  grades K 6
• Preschoolers at the Centers will participate in
  nutrition and physical activities as appropriate
  by age
• Nutrition and Activity messages can potentially
  affect all children and families at the center

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RAVE PROJECT SNACK REQUIREMENTS

• You must serve at least one fruit or vegetable
  component at each snack.
• If extra servings are provided, they must be
  fruit or vegetable components.
• Minimum portion sizes listed in the Food
  Crediting Guide or Food Buying Guide Exhibit A
  must be followed.

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Tools Provided to Centers

• Physical Activity curriculum
• Nutrition education materials
• Financial Assistance for a RAVE Coordinator
• Training, Training, Training
• One on One assistance from a CACFP staff R.D.

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The Purpose of the RAVE Project

• Improve centers capacity in providing healthier
  meals and snacks
• Serve more fresh fruits and vegetables
• Budget for fresh meats
• Provide breads higher in fiber and nutrients
• Plan structured and fun physical activities

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OBJECTIVES

• Prove that regardless of a centers location (in
  rural or urban areas) or profit status (whether
  for-profit or non-profit), that given the right
  training and technical assistance and tools, ALL
  centers can be successful in improving snacks and
  implementing physical activities in centers.
• Increase access and promotion of healthy snacks
  and physical activities.

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Goals of the RAVE Project

• Children in the six pilot centers will consume
  more fruits and vegetables and increase level of
  physical activity.
• The RAVE pilot project will serve as an extended
  school day model for other child care centers in
  KY.
• Family members of children in the six pilot
  centers will increase their knowledge and skills
  about healthy snacks and physical activities.

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Evaluation

• The nutritional content of snack menus at the
  beginning of the pilot project and after
  nutrition education has been provided and
  technical assistance has been offered to the
  centers.
• System for Observing Fitness Instructional Time
  (SOFIT) to track and increase in physical
  activity
• Centers submitted reports on the parent open
  house and included parent feedback about RAVE.

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Summary of Project Activities
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Summary of Project Activities
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What We Hoped to Achieve!

• More fruit and vegetables served at snack!
• Nutrition education of the center staff members,
  children and parents
• Behavior changes in physical activity at play
  time
• CC centers outreached into the community
• We hoped to demonstrate all centers can be
  successful if given the tools and training.
  
• YES!!!

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You dont believe us? Lets hear from one of the
R.A.V.E. Sponsors!!!
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Did We Achieve?

• Menu and Production Records for the 6
  participating centers were analyzed for October
  2006 prior to Rave.
• A second analysis was conducted in January 2007,
  the first month that Rave was implemented.
• Lets L k at the changes

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Changes in Fiber!!!
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Changes in Vitamin A!!
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Changes in Vitamin C!!
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Changes in Calories!!
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LET ME GUESS!!!

• You do not believe that your center can imitate
  this project due to an increase in food cost and
  program labor cost!!!
• THINK AGAIN!!!!

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Cost Analysis

• We also analyzed the participating centers
  reported cost for January 2006-June 2006. We
  compared this reported cost to the reported cost
  for January 2007-June 2007.
• The Results are IN!!!!

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Reported Food Cost
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Reported Program Labor
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Percentage of Reimbursement Spent on Food
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Cost Per Meal
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Our Focus This Year

• More fruits and vegetables at snack
• Fresh
• Frozen
• Or canned
• All seconds must be a fruit or vegetable
• Water is a good alternative, although it is NOT
  creditable.

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Will You Improve Your Childrens Health?

• Results have shown
• Fewer behavior problems
• Blood sugar is stabilized
• Decrease in inhaler usage for those with asthma
• Increase in attention span
• Decrease in hyperactivity
• Visible weight loss for overweight and obese

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• WILL YOU ACCEPT THE CHALLENGE?