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CDPHE Early Childhood Obesity Prevention in Early Care and Education Settings Jennifer Dellaport, Unit Manager Stacy Miller, Breastfeeding Specialist Jodi Christopfel, Physical Activity Project Coordinator Emily Bash, Nutrition Specialist ECOP


  1. CDPHE Early Childhood Obesity Prevention in Early Care and Education Settings Jennifer Dellaport, Unit Manager Stacy Miller, Breastfeeding Specialist Jodi Christopfel, Physical Activity Project Coordinator Emily Bash, Nutrition Specialist

  2. ECOP Unit’s Health Equity Approach • All people deserve to live healthy lives. • Many barriers exist. • We are changing our ways to address barriers to living healthy lives, such as providing technical assistance to child care professionals on how to support breastfeeding families and integrate physical activity into daily routines. • Equity and justice begins and ends with meaningful community involvement in shaping programs, practices and policies.

  3. Current Key Strategies Amendment 35 CDC - Chronic Disease MCH Block Grant WIC - USDA Funding/ CCPD & School Health (.85 FTE) (.30 FTE) (0.1 FTE) (0.6 FTE) period 10/2016-9/2018 annually 7/2015 -6/2018 7/2013 – 6/2018 Provide technical Provide technical Implement Implement cross- assistance to promote assistance to LPHAs in structured Strategy sector provider use of breastfeeding-friendly promoting healthy physical consistent messaging ECEs including as eating, responsive activity in of ECOP evidenced- employers feeding, sleep +/or ECEs based practices reduced screen time focus areas in ECEs Local public health agencies, CACFP , WIC agencies, community parents, Bright by Three, Early Childhood Councils, Healthy Child Care Colorado, Qualistar, University of Colorado Culture of Partners Wellness in Preschools, CO Department of Human Services Office of Early Childhood, community parents, Family, Friends, and Neighbor Network, CO Head Start Association, American Heart Association, Children’s Museum of Denver, USDA - SNAP Ed, Share Our Strength, Cooking Matters, Early Learning Ventures, child care providers, health care providers, Carolina Global Breastfeeding Institute, recreation centers, libraries, food pantries, Chambers of Commerce, and more!

  4. Current Trend

  5. Breastfeeding in Child Care

  6. Breastfeeding in Child Care • Advisory Committee • Toolkits – address knowledge gaps, influence attitudes and beliefs • Statewide toolkits: o Centers o Homes o Mom’s Tips • Spanish • Training modules – PDIS early 2018 • Posters

  7. Toolkits – What to know • Toolkits provide a resource for professionals and partners • Consistent messaging • Increased knowledge and support • Alignment with Colorado licensing and health and sanitation regulations

  8. Toolkits – How to • Share the toolkits! • Share the Tips handout for moms! • Share resources – www.breastfeedcolorado.com • Provide technical assistance to child care professionals: o Walk through the toolkits, emphasizing key messages o Assist professional in completing the Self-Assessment o Use resources to start the conversation – feeding plan, action plan, talking with families, etc.

  9. More to come… • Train the trainer webinars • PDIS interactive online modules • Additional resource materials www.breastfeedcolorado.com Under the Child care professionals tab Mom’s handout is also within Moms and Families tab

  10. Physical Activity in Early Care and Education Settings

  11. Structured physical activity and Wellness Champion trainings 2013-2017 IMIL Training Reach: Centers: 464 • Staff: 1051 • TA & Implementation: Contractor • IMIL Trainers • LPHA Coaches • Wellness • Champion Trainings

  12. Structured physical activity and Wellness Champion trainings 2017-2018 Moving into Wellness Trainings IMIL • Wellness • Champion IMIL for Infants • and Toddlers TA & Implementation: Wellness • Champion Webinars

  13. Physical Activity in ECE: What Works • Using I am Moving, I am Learning approach o promotes moderate to vigorous physical activity (MVPA) o improves the quality of movement activities o is intentionally planned and led by adults o is low cost approach o includes infant/toddler module o Spanish version of MVPA available • Providing portable play equipment when needed. • Offering physical activity training to WIC for families engagement. • Reimbursing ECE providers & parents for their time & effort for participation on committees and work groups. • Beginning to reach Hispanic & Native American populations.

  14. Physical Activity in ECE: What Works • IMIL helps meet licensing requirements - Daily physical gross motor activities o 60 min. for full day programs o 30 min. for half day programs • IMIL and Wellness Champions - Support achieving 1 physical activity point in CO Shines o Submit daily schedule/lesson plan o Observe structured PA during rating • Physical Activity in ECE Work Group - Physical activity professional development module for PDIS

  15. Physical Activity in ECE: Challenges • Staff wellness not prioritized • Some teachers don’t have fitness to lead physical activity • Teachers & directors have limited time to integrate physical activity into daily routines • Staffing shortages and turnover require retraining. • Competing demands for directors’ focus (educational development, safety, etc) • Reaching rural communities (few centers to participate)

  16. Carrie’s slides Healthy Weight Messaging: 9 Ways to Grow Healthy Colorado Kids!

  17. 9 Messages

  18. Messages: Spanish versions

  19. Partner Organizations Local WIC Clinics Rutabaga

  20. Partner Organizations • Public Health Agencies • Child and Adult Care Food • Libraries Program • Non-profits – Food banks, • Schools United Way • Life Skills Service Providers • Childcare Centers • Health care clinics • Home visitation providers • Primary care setting • Head Start/Early Head Start • Family Centers • Early Childhood Councils • Hospitals • Mental Health providers • Recreation Centers • Family Resource Centers • Physical Therapy providers • Community Health Centers • Environmental Health

  21. How messages are being used: • Public waiting areas and classrooms • Bulletin boards • New Baby/Family Welcome & Bright by Three bags • Breastfeeding promotion in child care centers • Grandparents Raising Grandchildren Support Group • Back to school night • Biggest loser competition • Organization newsletters • Parent education • Use them everywhere!

  22. 2017 Messaging Awareness Survey English o 1614 o Closed 9/8/17 Spanish o 115 o Closes 9/22/17 Least familiar messages (English): o Help your child sleep better in a TV-free space o There’s no power like parent power Elicited most behavior change - Rethink your drink

  23. 9 Ways messaging: What works • Motivated staff to disseminate messages • One message per month roll out with related tools and resources • Engaging smaller professional groups/organizations • Grassroots topic specific collaboration o CREA Results o Spanish media

  24. 9 Ways messaging: Challenges • Limited local staff capacity to take on additional tasks • Budget and CDPHE staffing What we are working on: • Approaching faith communities/organizations • Gathering input from child care providers regarding desired tools and resources • Engaging FFNs

  25. Questions? Contact: ECOP programs - Jennifer.Dellaport@state.co.us 303.692.2462 Physical activity - Jodi.Christopfel@state.co.us 303.692.2608 Breastfeeding - Stacy.Miller@state.co.us 303.692.2406 Messaging - Emily.Bash@state.co.us 303.692.2413

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