Jennifer Dellaport, Unit Manager

Stacy Miller, Breastfeeding Specialist

Jodi Christopfel, Physical Activity Project Coordinator

Emily Bash, Nutrition Specialist

CDPHE Early Childhood Obesity Prevention in

Early Care and Education Settings

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.

Current Key Strategies

CDC - Chronic Disease

& School Health

(0.6 FTE) 7/2013 – 6/2018

Funding/

period

Strategy

Partners

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

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!

Implement

structured

physical

activity in

ECEs

Provide technical

assistance to promote

breastfeeding-friendly

ECEs including as

employers

Amendment 35

CCPD

(0.1 FTE) 7/2015 -6/2018

Implement cross-

sector provider use of

consistent messaging

of ECOP evidenced-

based practices

MCH Block Grant

(.85 FTE) 10/2016-9/2018

WIC - USDA

(.30 FTE) annually

Provide technical

assistance to LPHAs in

promoting healthy

eating, responsive

feeding, sleep +/or

reduced screen time

focus areas in ECEs

Current Trend

Breastfeeding in

Child Care

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

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

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.

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

Physical Activity

in Early Care and Education Settings

2013-2017

IMIL Training Reach:

• Centers: 464

• Staff: 1051

TA & Implementation:

• Contractor

• IMIL Trainers

• LPHA Coaches

• Wellness

Champion

Trainings

Structured physical activity and

Wellness Champion trainings

Moving into Wellness

Trainings

• IMIL

• Wellness

Champion

• IMIL for Infants

and Toddlers

TA & Implementation:

• Wellness

Champion

Webinars

Structured physical activity and

Wellness Champion trainings 2017-2018

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.

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

• 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

Physical Activity in ECE: Challenges

• Staffing shortages and turnover require retraining.

• Competing demands for directors’ focus (educational

development, safety, etc)

• Reaching rural communities (few centers to participate)

Carrie’s slides

Healthy Weight Messaging:

9 Ways to Grow Healthy

Colorado Kids!

9 Messages

Messages: Spanish versions

Rutabaga

Local WIC Clinics

Partner Organizations

Partner Organizations

• Public Health Agencies

• Libraries

• Non-profits – Food banks,

United Way

• Childcare Centers

• Home visitation providers

• Head Start/Early Head Start

• Early Childhood Councils

• Mental Health providers

• Family Resource Centers

• Community Health Centers

• Child and Adult Care Food

Program

• Schools

• Life Skills Service Providers

• Health care clinics

• Primary care setting

• Family Centers

• Hospitals

• Recreation Centers

• Physical Therapy providers

• Environmental Health

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!

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

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

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

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