Coordinated Approach To Child Health

CATCH

Peter Cribb, MEdUT-Houston

School of Public Health

512.346.6163 CATCHTexas.org

CATCHInfo.org

Because we can’t afford to “WEIGHT!”

Why children’s health?Why children’s health?

Behavior change is influenced or determined by the

environment – because environments value and

reward certain behaviors.

Basic AssumptionBasic Assumption

Overweight Children and Adolescents:NHANES

0

5

10

15

20

63-65 66-70

71-74 76-80 88-94 99 2002 2004

Years of Survey

% o

ve

rwe

igh

t

6-11 years 12-19 yearsSource: Medline, 2006

Ogden et al. JAMA;195:1549-55, Hedley et al. JAMA;291:2847-2850

Equal or greater than 95% age/sex CDC Growth ChartsEqual or greater than 95% age/sex CDC Growth Charts

To address the obesity problem we need to affect an environmental

change – to create an environment that teaches, reinforces and rewards physical activity and

healthy eating habits (which is the premise of Coordinated School

Health Programming).

Assumption #2Assumption #2

?How did get to be so?

?Consider the

messages we send to our nation’s

youth…

…about health and wellness?

Winners of the Tobacco Prevention Persuasive Poster Contest

WHAT’S WRONG WITH THIS PICTURE?

?Consider the

messages we send to our nation’s

youth…

…about physical activity?

?Consider the

messages we send to our nation’s

youth…

…about nutrition?

If you change the environment…

Behavior will follow.

What is CATCH?What is CATCH?Coordinated Approach To

Children’s HealthA multi-component, school based

coordinated health approach to help children adopt

healthy dietary and physical activity

behaviors.

What is CATCH?What is CATCH?

Coordinated Approach To Children’s Health

It’s an evidence-based tool for

schools to use to create & support a

healthy school environment.

Classroom

Curriculum

Food Service

Physical Education

Family

The 4 CATCH ComponentsThe 4 CATCH Components

CATCH Middle School ComponentsCATCH

ComponentTitle Grade

LevelDescription

Classroom Curriculum

Heads Up

IMPACT

6th – 8th 7th

Nutr & PA (11)Diabetes & CV Disease (16)Osteoporosis (5)

Physical Education

CATCH PE 6th – 8th 6th – 8th PE Box K-8th PE GuidebookSessions year round

Nutrition Eat Smart 6th – 8th School food service program & nutrition guidelines

Family CATCH Newsletter

Family Fun Events

6th – 8th Update of CATCH news & informationEvents focusing on healthy eating & PA

Goals of CATCH Eat Smart

Provide students with tasty, healthy school meals

Maintain required levels of essential nutrients and student participation

Coordinate healthy messages with the rest of the school

Child Nutrition ServicesChild Nutrition Services

Eat Smart guidelines align with federal standards and 2005 US Dietary Guidelines

Provides guidelines for vending & a la carte foods and beverages

Recommendations for healthy catering at school functions

Promotion of healthy foods

Recommendations for fast food offerings

Eat SmartEat Smart

6th – 8th grades (Heads Up & IMPACT materials)Curriculum Focus:• Knowledge (Nutrition, PA,

Diabetes, CV Disease, & Osteoporsis)

• Case studies• Interactive videos & activities• Peer role models• Promotes critical thinking

Classroom CurriculumClassroom Curriculum

Alignment with TEKS & state and national science education standards

Teacher-friendly objectives, content, classroom activities

HEADS UP CurriculumHEADS UP Curriculum

Behaviorally based lessons to adopt healthy eating and physical activity behaviors

Improve healthful eating habits with more servings of calcium each dayIncrease participation in daily MVPAHigher frequencies of weight bearing PA

IMPACT CurriculumIMPACT Curriculum

CATCH PE is designed to promote children’s enjoyment and participation of MVPA

(moderate to vigorous physical activity) during PE classes, extracurricular activities, and recreation time with family and friends.

Goal of CATCH PEGoal of CATCH PE

Students enjoy physical activityStudents will be involved in MVPA for 50% of class timeStudents are provided many opportunities to participate and practice skillsStudents are encouraged to be physically active outside of schoolEmphasis on weight-bearing activities & lifetime physical activities in 6th – 8th

CATCH PECATCH PE

Serve as an educational program that raises awareness about health & wellness

Motivates parents, students, and community members to change their behaviors

Provide opportunities for parents and family members to visit the school and actively participate in CATCH

Influence healthy changes in the home and community

Family ComponentFamily Component

CATCH Newsletter: Providing CATCH updates and news and highlighting CATCH Champions.Family Fun Events:

Repeatable family health activities at least once a year Participation by CATCH students and families, teachers, food service staff, physical education specialists and administrators Community involvement opportunityActivity booths highlighting healthy snacks and fun activities

Family ComponentFamily Component

•CATCH

Partnership •Get Info

•Newsletter

•Resources

•Training

•What's New WHAT IS CATCH?

                       

                                                        Watch CATCH

Video

   

CATCH: From Research to Practice The CATCH Program will be featured in the Centers for Disease Control (CDC) sponsored Public Health Webinar series “Grand Rounds” on June 15th from 2-3pm EST. Overview CDC is changing to meet the challenges of public health in the 21st century. To address the shifting landscape of public health, the CDC is concentrating on improving the health of individuals through a holistic approach instead of focusing on specific diseases. CDC is using a “life stage approach” to focus its efforts on achieving the highest health status for people in the United States . People have different health needs and perceptions as they progress through life.

CATCH NewsletterCATCH Newsletter

Screenings

Student Poster Exhibits

Diabetes Education

Family Fun Events & Family Fun Events &

Parent OutreachParent Outreach

Because CATCH Works!

Why CATCH?Why CATCH?

• CATCH has repeatedly demonstrated that the health environments of schools can be changed.

• CATCH has demonstrated it positively changes children’s health behaviors,

Because CATCH Works!

Why CATCH?Why CATCH?

• CATCH 6th – 8th demonstrated an increase in vigorous physical activity levels and activity time after school and on the weekend.

• CATCH 6th – 8th has shown a decrease in TV watching and sedentary activities.

• CATCH 6th – 8th (HEADS UP) has shown improvements in standardized test scores.

• CATCH 6th – 8th (IMPACT)demonstrated effects in increasing bone density (e.g., stiffness index).

High-energy, dynamic and multi-dimensional

One full day

All groups train together as a coordinated team

It’s FUN!

CATCH Implementation CATCH Implementation TrainingsTrainings

Observable Changes in SchoolsObservable Changes in Schools

It takes everyone working It takes everyone working together!together!

CATCH Websites:

www.CATCHTexas.org

www.CATCHInfo.org