National Early Care & Education Learning Collaboratives · 2016-05-25 · 4. Be able to use the 101...

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National Early Care & Education Learning Collaboratives: Taking Steps to Healthy Success Learning Session 5, Revised Edition Implementation Guide October 2015

Transcript of National Early Care & Education Learning Collaboratives · 2016-05-25 · 4. Be able to use the 101...

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National Early Care & Education Learning Collaboratives:Taking Steps to Healthy SuccessLearning Session 5, Revised EditionImplementation GuideOctober 2015

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Nemours is currently funded by the Centers for Disease Control and Prevention (CDC) under a five-year Cooperative Agreement (1U58DP004102) to support states in launching ECE learning collaboratives focused on obesity prevention. Funding for these materials and learning sessions was made possible by the CDC. The views expressed in written materials or publications, or by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services, nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

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Table of ContentsWho to Call for Help 2

Overview 2

CONTENT IMPLEMENTATION

Learning Session 5: Our Plans in Action! 3

Sample Agenda 5Materials List 6Check-in and Evaluation: LS4 Post-Test, LS5 Pre-Test 7 Learning Objectives LS4 Post-Test 8 Learning Objectives LS5 Pre-Test 9 Welcome Back and TA Breakout Groups 10 Learning Session 4: Morning Breakout Group Discussion Notes 11Presenting Storyboards 12PPT Part A – National, State and Local Support 13 Physical Activity Break 13PPT Part B – ABC’s of a Healthy Me 14 Video: How do national and state best practice guidelines support your work to help children grow up healthy? 14Presenting Storyboards 16PPT Part C: Facilitating Change in Your Program 17 Activity: Keep It Up 18TA Breakout Groups 19Learning Session 5: Afternoon Breakout Group Discussion Notes 21PPT Part D: Staff Wellness 22 Video: The Power of US—Early Learning Matters 22 Activity: Mindful Minute 23 Discussion: Which low-cost staff wellness ideas can you use in your program? 24PPT Part E – Healthy Recipes 29 Activity: Recipes from Meals without Squeals: Child Care Feeding Guide and Cookbook 29PPT Part F: Active Play! Fun Physical Activities for Young Children 30 Video: Dr. Craft’s Active Play! DVD 30 Discussion: Dr. Craft’s Active Play! Review 30Let’s Move! Child Care Checklist Quiz 33Learning Session 5 Post-Test 35Participant LS5 Feedback Form 36References 37

National Early Care & Education Learning Collaboratives

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National Early Care & Education Learning Collaboratives

Who to Call for HelpGeneral inquiries: [email protected]. We respond within 2 business days.

Topic Primary Contact Secondary ContactChild Health and Development Technical Assistance

Katey Swanson 202-649-4422 [email protected]

Brianna Holmes 202-649-4425 [email protected]

Collaboratives – Implementation State Project Coordinator Julie Shuell 202-649-4420 [email protected]

Curriculum – Standard Katey Swanson 202-649-4422 [email protected]

Brianna Holmes 202-649-4425 [email protected]

Curriculum – Customized Katey Swanson 202-649-4422 [email protected]

Brianna Holmes 202-649-4425 [email protected]

Coaching/Mentoring Providers After On-Site Sessions

State Project Coordinator Brianna Holmes 202-649-4425 [email protected]

Go NAP SACC Daniel Schober 402-559-7388 [email protected]

Catherine Plumlee 402-559-6682 [email protected]

Monitoring & Evaluation Daniel Schober 402-559-7388 [email protected]

Catherine Plumlee 402-559-6682 [email protected]

Invoices to Nemours Roshelle Payes 202-649-4426 [email protected]

Julie Shuell 202-649-4420 [email protected]

Let’s Move! Child Care Quiz Daniel Schober 402-559-7388 [email protected]

Catherine Plumlee 402-559-6682 [email protected]

Monthly Progress Reports to Nemours Roshelle Payes 202-649-4426 [email protected]

Julie Shuell 202-649-4420 [email protected]

Professional Development and/or Clock Hours/CEUs for Providers

State Project Coordinator Julie Shuell 202-649-4420 [email protected]

Provider Recruitment & Retention State Project Coordinator Julie Shuell 202-649-4420 [email protected]

Press Releases and/or Media Requests State Project Coordinator Roshelle Payes 202-649-4426 [email protected]

State Partnerships Julie Shuell 202-649-4420 [email protected]

Roshelle Payes 202-649-4426 [email protected]

Sub-Award Agreements with Nemours Roshelle Payes 202-649-4426 [email protected]

Julie Shuell 202-649-4420 [email protected]

Technical Assistance Protocols/Forms/Submission

State Project Coordinator Alejandro Hughes [email protected]

Web Based Portal (located on the Change Your Community tab of www.healthykidshealthyfuture.org)

Cindy Caldwell [email protected]

Roshelle Payes 202-649-4426 [email protected]

FileMaker Go Technical Assistance Tom Bernard [email protected]

Alejandro Hughes [email protected]

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Taking Steps to Healthy Success

Learning Session 5: Materials

Learning Session 5: Celebrating Success: Our Plans in Action!

Overview Learning Session 5 (LS5) builds on the experiences, knowledge, and action planning of the previous four sessions in order to equip Leadership Teams, in collaboration with the staff at their programs, to continue their Long-Term Action Plans and celebrate their success!

During this session, Leadership Teams will engage in hands-on training to equip them with additional resources that support healthy behaviors and promote staff wellness in their programs through:

• Identifying and engaging in activities that promote moderate to vigorous physical activity (MVPA) and healthy snacks in the classroom;

• Discovering innovative ways to integrate nutrition and physical activity best practices by watching the videos: How do national and state best practices guidelines support your work to help children grow up healthy? and Dr. Craft’s Active Play! DVD;

• Identifying low-cost ideas that promote staff wellness; and

• Identifying steps that assist in creating policies in their program.

During the large group and TA Breakout Group sessions, Trainers introduce tools that the Leadership Teams can use to engage their program staff in making healthy changes. At the end of LS5, participants will:

• Feel competent using Dr. Craft’s Active Play! book and Meals without Squeals: Child Care Cookbook and Feeding Guide to support physical activity and healthy eating in the classroom;

• Be equipped to implement ideas that promote positive staff wellness; and

• Understand the steps to create and implement new program policies.

Key content includes:

• Celebration of strengths and successes encountered through storyboard presentations;

• Activities that promote moderate to vigorous play and healthy snacks in the classroom;

• Strategies and skills to promote staff wellness;

• Program policies to support healthy behaviors in the program.

Post-session (Action Period)Program Leadership Teams utilize the Leadership Team Guide to engage their program staff to:

• Continue the Long-Term Action Plan; and

• Identify and act on new ways to continue to support healthy changes.

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Objectives At the end of the Learning Session, participants will be able to:

1. Participate in at least one physical activity that supports moderate to vigorous physical activity using Dr. Craft’s Active Play! book and be prepared to implement it in their program;

2. Prepare two healthy snacks using Meals without Squeals: Child Care Feeding Guide and Cookbook and be prepared to implement them in their program;

3. Use storyboard presentations to show at least one change within their program that supported the best practices for healthy eating, physical activity, screen time and/or breastfeeding support;

4. Be able to use the 101 Low-Cost Ideas for Worksite Wellness resource to identify two ideas they would like to use to improve staff wellness; and

5. Be prepared to continue their Long-Term Action Plan and establish program policies to support implementation of best practices for healthy eating, physical activity, screen time, and/or breastfeeding support in their program.

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National Early Care & Education Learning Collaboratives

Learning Session 5: Content Implementation

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Learning Session 5: Celebrating Success: Our Plans in Action!Sample Agenda The agenda template can be found on the Let’s Move! Child Care website (www.healthykidshealthyfuture.org). Feel free to use this as you customize the timing and activities for each Learning Session.

Learning Session 5: Celebrating Success: Our Plans in Action!Time Topic

8:30 – 9:00 am Check-In and Evaluation: LS4 Post-Test, LS5 Pre-Test

9:00 – 9:30 am Welcome Back

• TA Breakout Groups (LS4 Action Period)

9:30 – 10:30am Presenting Storyboards

10:30 – 11:00 am PPT Part A: National, State, and Local Support

• Discussion: National, State, and Local Support

• Physical Activity Break: Refer to the Nutrition and Movement Activity Book

11:00 am – 11:15 am Break

11:15 – 11:30 am PPT Part B: ABC’s of a Healthy Me

• Video: How do national and state best practice guidelines support your work to help children grow up healthy?

11:30 am – 12:15 pm Networking Lunch

12:15 – 1:00 pm Presenting Storyboards

1:00 – 1:30 pm PPT Part C: Facilitating Change in Your Program

• Activity: Keep it Up

1:30 – 1:45 pm Break

1:45 – 2:00 pm PPT Part D: Staff Wellness

• Video: The Power of US—Early Learning Matters

• Activity: Mindful Minute

• Discussion: Which low-cost staff wellness ideas can you use in your programs?

2:00 – 2:30 pm PPT Part E: Healthy Recipes

• Activity: Recipes from Meals without Squeals: Child Care Feeding Guide and Cookbook

2:30 – 2:45 pm PPT Part F: Active Play! Fun Physical Activities for Young Children

• Video: Dr. Craft’s Active Play! DVD: Trainers meet with their programs

• Discussion: Dr. Craft’s Active Play! Review

2:45 – 3:00 pm Evaluation: LS5 Feedback Forms, Let’s Move! Child Care Quiz, LS5 Post-Test

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LS5: Materials ListCheck-In and Evaluation: LS4 Post-Test, LS5 Pre-Test

• Check-in signs (for example A-I, J-R, S-Z)• Pre-filled participant sign-in sheets (name and enrollment ID)• Pens• Nametags• LS5 Participant Handbooks (one per person) • LS4 Post-Tests• LS5 Pre-Tests

Welcome Back TA Breakout Groups (LS4 Action Period)

• Learning Session 5 Participant Handbook• Learning Session 5 Implementation Guide: Trainers refer to the Morning Breakout Group

Discussion Notes

Presenting Storyboards • Presenting Storyboards ° Index cards for participant notes and ideas

PPT Part A: National, State, and Local Support

• PPT Part A: National, State, and Local Support – Physical Activity Break: Trainers refer to the Nutrition and Movement Activity Book ° Materials needed for chosen activity

PPT Part B: ABC’s of a Healthy Me

• PPT Part B: ABC’s of a Healthy Me ° ABC’s of a Healthy Me poster

– Video: How do national and state best practice guidelines support your work to help children grow up healthy?

Presenting Storyboards • Presenting Storyboards ° Index cards for participant notes and ideas

PPT Part C: Facilitating Change in Your Program

• PPT Part C: Facilitating Change in Your Program• Learning Session 5 Participant Handbook• Learning Session 5: Trainers refer to the Afternoon Breakout Group Discussion Notes • Program Policy Change – Nutrition and Wellness Tips for Young Children – Best Practices for Physical Activity Guide – Best Practices for Healthy Eating Guide • Activity: Keep It Up: Trainers refer to the Implementation Guide

PPT Part D: Staff Wellness • PPT Part D: Staff Wellness – Video: The Power of US—Early Learning Matters – Activity: Mindful Minute

° Learning Session 5 Handbook: Participants refer to the Mindful Minute Activity – Discussion: Which low-cost staff wellness ideas can you use in your program?

° Learning Session 5 Handbook: Participants refer to the 101 Low Cost Ideas for Worksite Wellness

PPT Part E: Healthy Recipes • PPT Part E: Healthy Recipes – Trainers refer to the Meals Without Squeals: Child Care Feeding Guide and Cookbook

° Meals Without Squeals: Child Care Feeding Guide and Cookbook ° Materials needed for chosen recipes ° Extension cords

PPT Part F: Active Play! Fun Physical Activities for Young Children

• PPT Part F: Active Play! Fun Physical Activities for Young Children – Trainers refer to the Dr. Craft’s Active Play! book – Video: Dr. Craft’s Active Play! DVD

Evaluation: LS5 Forms • LS5 Post-Tests• LS5 Feedback Forms• Let’s Move! Child Care Quiz

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Check-In and Evaluation: LS4 Post-Test, LS5 Pre-Test

SET UP: Set up the night before if possible. If not, plan on setting up early the day of the training. Refer to the Materials List for a complete list of what to set out or store for later. Set out sign-in sheets, nametags, and pens on tables near the main room entrance. In addition:

• Have LS5 Participant Handbooks ready for distribution;

• Set out materials on tables:

– Breakout group lists with trainers and programs assigned to that group; and

– Program name signs.

• Gather materials for physical activity breaks;

• Set up and test all technology: laptop, LCD projector, CD/DVD player (laptop may have this capability), and wireless microphone;

• Set up KWL Chart on large chart paper (optional);

• Set up Show and Tell area (optional) to showcase important resources; and

• Display raffle prizes (optional).

CHECK-IN and EVALUATION:It is recommended to begin check-in at least 30 minutes prior to LS5. As participants sign-in, do the following:

• Collect LS4 Action Period materials in envelopes labeled with program name;

• Distribute and instruct participants to complete the Learning Session 4 Post-Test before the beginning of the Learning Session;

• Distribute and instruct participants to complete the Learning Session 5 Pre-Test before the beginning of the Learning Session; and

• Distribute LS5 Participant Handbooks (one per person).

NETWORKING:If time permits, encourage participants to discuss how their Long-Term Action Plans are progressing.

TIPS:• 5 min before start time, begin asking participants to find their seats; and

• Collect LS4 Post-Tests and LS5 Pre-Tests before the beginning of the Learning Session.

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Learning Objectives Post-TestLearning Session 4: How Can We Engage Families as Partners?

Date: ________________________ Learning Session Location: ______________________________________

Now that the Learning Session 4 Action Period is complete, please answer the following questions. The responses to all questions on this page will be kept confidential. There is no right or wrong answer to any of these questions.

1.) I feel that I had the knowledge and ability to…

Strongly Disagree Disagree Neutral Agree Strongly

Agree

…use the Strengthening Families Framework to identify two key protective factors to promote family support in my program.

1 2 3 4 5

…identify best practices for creating a family-friendly environment and list three ways that they are currently being implemented in my program.

1 2 3 4 5

…define active listening. 1 2 3 4 5

…define verbal feedback. 1 2 3 4 5

…define “I” messaging. 1 2 3 4 5

…implement one of the following communication skills during a role-play activity: active listening, verbal feedback, or “I” messaging.

1 2 3 4 5

…identify the five commonly used domains of early learning standards.

…provide one way I can engage families for each of the five commonly used domains of early learning standards.

…continue my Long-Term Action Plan and establish family engagement strategies to support implementation of best practices for healthy eating, physical activity, screen time, and/or breastfeeding support in my program.

2.) Did you attend Learning Session 4?

w Yes w No

3.) Please provide your position (check one):

w Lead teacher

w Food service director

w Program director

w Other:

4.) Program Site Name: _________________________

5.) Program City: ______________________________

6.) Program State: ______________________________

7.) Enrollment ID: ______________________________

8.) Your Birth MONTH: ___________________________

9.) Your Birth DAY: ______________________________

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Learning Objectives Pre-TestLearning Session 5: Celebrating Success: Our Plans in Action!

Date: ________________________ Learning Session Location: ______________________________________

Please answer the following questions—the responses to all questions on this page will be kept confidential. There is no right or wrong answer to any of these questions.

1.) I feel that I have the knowledge and ability to…

Strongly Disagree Disagree Neutral Agree Strongly

Agree…participate in at least one physical activity that supports moderate to vigorous physical activity using Dr. Craft’s Active Play! book.

1 2 3 4 5

…implement at least one physical activity that supports moderate to vigorous physical activity using Dr. Craft’s Active Play! book in my program.

1 2 3 4 5

…prepare two healthy snacks using Meals Without Squeals: Child Care Feeding Guide and Cookbook.

1 2 3 4 5

…implement two healthy snacks using Meals Without Squeals: Child Care Feeding Guide and Cookbook in my program.

1 2 3 4 5

…use a storyboard presentation to show at least one change within my program that supports the best practices for healthy eating, physical activity, screen time, and/or breastfeeding support.

1 2 3 4 5

…use the 101 Low-Cost Ideas for Worksite Wellness resource to identify two ideas I would like to use to improve staff wellness in my program.

1 2 3 4 5

…continue my Long-Term Action Plan and establish program policies to support implementation of best practices for healthy eating, physical activity, screen time, and/or breastfeeding support in my program.

1 2 3 4 5

2.) Please provide your position (check one):

w Lead teacher

w Food service director

w Program director

w Other: ________________________________

3.) Program Site Name: _________________________

4.) Program City: ______________________________

5.) Program State: ______________________________

6.) Enrollment ID: ______________________________

7.) Your Birth MONTH: ___________________________

8.) Your Birth DAY: ______________________________

Part 2: Content Implementation – Learning Session 5

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Welcome Back and TA Breakout Groups (30 min.)

SET UP: Prepare PPT: Presenting Storyboards

ACTION:

• Welcome participants back;

• Congratulate them on completing the LS4 Action Period Tasks;

• Mention housekeeping items:

– Bathroom location; and

– Silencing cell phones.

• Provide an overview of the LS5 Participant Handbook and the agenda.

TA Breakout Groups – LS4 Action Period

SET UP:

• Split participants in to their breakout groups with their respective Trainer.

PRESENT:

• Facilitate a group discussion around the LS4 Action Period Tasks participants completed;

• Use the Learning Session 4: Morning Breakout Group Discussion Notes on the following page to facilitate the discussion; and

• Remind participants that they will continue to implement the best practices outlined in their Long-Term Action Plans, and encourage them to create program policies to support the best practices.

Part 2: Content Implementation – Learning Session 5

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Learning Session 4: Morning Breakout Group Discussion NotesHow did it go? Facilitating Change in Your Program

1. How have things been going since our last Learning Session?

2. How are you feeling about facilitating the Action Period training?

a. What went well?

b. What was challenging?

c. Was this a different way of working with your staff? If so, how did it go?

d. How did your staff respond to the training? What made an impression on them?

e. Is there anything you need help with? We are all here to help each other, to brainstorm and to try to share solutions.

3. Let’s talk about the storyboard:

a. How have you been able to engage families during the implementation of the “action steps” from the Long-Term Action Plan?

b. Was program staff engaged in the development of the storyboard?

c. Have you faced any barriers so far while implementing the “action steps” from the Long-Term Action Plan?

NOTE: Please collect the Action Period Tasks for LS4 if participants did not already turn them in at check-in. This breakout group will be getting together again in the afternoon to review the Action Period Tasks for this session and to answer any other questions at that time.

Enjoy the day!

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Presenting Storyboards (1 hour)

SET UP:

• Choose how you would like to conduct the “Presenting Storyboards” segment of the day. It may be done as a large group, small TA breakout groups, or as a “gallery walk.” Feel free to modify this segment based on the group size and the layout of the room.

PRESENT:

• Large Group:

– Allow Leadership Teams, or a representative from the Leadership team, to present their storyboards in front of the large group;

– This segment is approximately 1 hour and 45 minutes in length. This first segment is 1 hour, and presentations will continue for an additional 45 minutes after lunch. Inform participants that they will have ___________ minutes for each presentation, including time for questions; and

– Provide a 1 minute warning when participant’s times are almost up.

• Small Group:

– Break participants up into their TA breakout groups;

– Allow the Leadership Teams, or a representative from the Leadership Team, to present their storyboards in front of the large group;

– This segment is approximately 1 hour and 45 minutes in length. This first segment is 1 hour, and presentations will continue for an additional 45 minutes after lunch. Inform participants that they will have ___________ minutes for each presentation, including time for questions; and

– Provide a 1 minute warning when participant’s times are almost up.

• Gallery Walks

– Make sure there is enough space to display storyboards on tables throughout the room; and

– Ask participants to walk around the room and review the storyboards.

Part 2: Content Implementation – Learning Session 5

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PPT Part A – National, State, and Local Support (30 min.)

SET UP:

• Invite representatives from national, state, and local organizations to present.

ACTION:

• Allow national, state, and local representatives to present and provide additional materials and resources to the participants; and

• If representatives are not available, review the slides in the presentation.

Physical Activity Break

SET UP:

• Set up the physical activity of your choosing from the Nutrition and Movement Activity Book; and

• Gather materials needed for the activity.

ACTION:

• Make sure everyone has enough space, and conduct the physical activity you chose from the Nutrition and Movement Activity Book.

Part 2: Content Implementation – Learning Session 5

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PPT Part B – ABC’s of a Healthy Me (15 min.)

PRESENT:

• PPT Part B: ABC’s of a Healthy Me

ACTION:

• Remind participants about the ABC’s of a Healthy Me poster and handout distributed in Learning Session 1.

PLAY:

• Video: How do national and state best practice guidelines support your work to help children grow up healthy?

Note: The picture (hyperlink) contains a prompt to play the How do national and state best practice guidelines support your work to help children grow up healthy? If you do not have internet access, the video can be found on the companion USB.”

Networking Lunch (45 minutes)

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Funding for this publication was made possible by the Centers for Disease Control (CDC). Nemours is currently funded by the CDC under a five-year Cooperative Agreement (1U58DP004102) to support

states in launching ECE learning collaboratives focused on obesity prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Department of Health and Human Services, Centers for Disease Control and Prevention, or the U.S. Government.

ctive play Every day, inside and out

reastfeeding Support and access to a private space

ut down on screen time None for children under age 2 No more than 30 minutes a week for children ages 2

years and older

rink milk and water Offer milk at meals and make water always available to

quench thirst

at healthy foods Fruits, vegetables, whole grains, lean meats and

protein, low-fat dairy

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Presenting Storyboards (45 min.)

SET UP:

• Continue storyboard presentations. Choose how you would like to conduct the “Presenting Storyboards” segment of the day. It may be done as a large group, small TA breakout groups, or as a “gallery walk.” Feel free to modify this segment based on the group size and the layout of the room.

PRESENT:

• Large Group:

– Allow Leadership Teams, or a representative from the Leadership team, to present their storyboards in front of the large group;

– Inform participants that they will have ___________ minutes for each presentation, including time for questions; and

– Provide a 1 minute warning when participant’s times are almost up.

• Small Group:

– Break participants up into their TA breakout groups;

– Allow the Leadership Teams, or a representative from the Leadership Team, to present their storyboards in front of the large group;

– Inform participants that they will have ___________ minutes for each presentation, including time for questions; and

– Provide a 1 minute warning when participant’s times are almost up.

• Gallery Walks

– Make sure there is enough space to display storyboards on tables throughout the room; and

– Ask participants to walk around the room and review the storyboards.

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PPT Part C – Facilitating Change in Your Program (30 min.)

SET UP:

• PPT Part C: Facilitating Change in Your Program. Use the notes view of the PPT to guide your discussion.

• Discuss the Action Period and explain:

– Participants will continue to implement best practices outlined in their Long-Term Action Plan and create program policies within their programs to support these changes.

PRESENT:

• Conduct the Keep It Up activity with the large group or within the TA Breakout Groups (see the instructions on the following page of this guide):

– Inform participants that the Keep It Up activity is one of the “protocols” developed by the University of Florida and the Early Learning Coalition of Miami-Dade/Monroe to help create an environment for collaboration and effective adult learning.

– The Keep It Up activity is not mandatory for the program’s LS5 Action Period, but may be used to encourage staff engagement.

ACTION:

To conduct the Keep It Up activity:

• Ask all participants to stand inside a designated area of the room;

• Inform participants that the purpose of the game is to see how many times their group can hit the ball without dropping it or having it go out of bounds beyond the designated area;

• Explain that each person must hit the ball once before anyone can hit it a second time;

– A person cannot hit the ball two times in a row

• Encourage the group to count out loud together for each hit; and

• Let the participants try it five or six times and then ask if they would do anything differently to improve their efforts as a team.

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Protocols are most powerful and effective when used within an ongoing professional learning community and facilitated by a skilled facilitator. To learn more about professional learning communities and seminars for facilitation, please visit the School Reform Initiative website at www.schoolreforminitiative.org

Keep It UpDeveloped in the field by educators.

TaskSee how many times the group can hit the ball up in the air without it going out of bounds or touching the ground.

MaterialsBeach Ball or Earth Ball rope to mark playing area.Size of area is dependent upon group size and type of ball used.

Rules1. Ask all the participants to stand inside the roped off area. (20‑30’ sq.) 2. Let them know that the purpose of the game is to see how many times their group can hit the ball

without dropping it or having it go out of bounds beyond the roped area.3. A person can not hit the ball two times in a row.

VariationEach person must hit the ball once before anyone can hit it a second time.

Facilitation1. Encourage the group to count out loud together for each hit. 2. Let them try it five or six times and then ask if they want to do anything differently to improve their

efforts as a team.3. Note the number of hits they accrue after each try. 4. After 4‑5 minutes ask: What’s working well? Where is there difficulty? What could you do? differently?

How might you position yourselves differently?5. After a few more attempts, encourage them to set a goal

How many times do you think you can hit the ball, if you work together and everyone really tries?6. After they set a goal, continue 4‑6 more times.

Processing of ExperienceThese questions can follow many group team‑building activities. How did we do at the beginning? Did we do better after awhile? What changes did you see in how you worked together? What helped you to be successful as a group? How could you improve next time? How did setting a goal help or hurt your efforts? What can we learn from this that might help us in working together? in our classroom?

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Part 2: Content Implementation – Learning Session 5

TA Breakout Groups

ACTION:

• Welcome participants to the breakout group;

• Facilitate a group discussion around how programs will continue implementing their Long-Term Action Plan goals, and how they can create program policies to help support best practices.

End in time for everyone to be back in the main training room by 1:30 pm

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Learning Session 5: Afternoon Breakout Group Discussion NotesHow did it go? Facilitating Change in Your Program1. How are you feeling about today’s Learning Session?

a. What did you learn that was surprising or helpful or exciting?

b. What do you still want to learn more about?

2. Let’s talk about creating policies in your program

a. Provide an example of a written policy that supports best practices.

b. What are some ways policies can promote program staff and parent participation?

c. How can you implement policies while making sure they are age appropriate for infants, toddlers, and preschoolers? (For example, the outdoor play policy during inclement weather is as follows: infants and toddlers will remain in their respective classrooms for physical activity, and preschoolers will use the multipurpose room for physical activity).

d. What are some ways to make program staff, parents, and children aware of policies?

NOTE: Collect Action Period Tasks if participants did not already turn them in at check-in.

.

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PPT Part D – Staff Wellness (15 min.)

PRESENT:

• PPT Part D: Staff Wellness

Mindful Minute Activity

ACTION:

• Have participants turn to the Mindful Minute activity in their Participant Handbook;

• Ask participants to remain quiet, still, and become consumed in their thoughts;

– Encourage participants to take a mental break from the Learning Session

• The exercise should take approximately 30 seconds to one minute; and

• Encourage participants to think about how they can incorporate this activity throughout their day.

Note: The activity is most effective when the room is completely quiet.

101 Low-cost Ideas for Worksite Wellness

ACTION:

• Have participants turn to the 101 Low-cost Ideas for Worksite Wellness tip sheet located in their Participant Handbook;

• Facilitate a large group discussion and ask participants to identify at least three ideas from the 101 Low-cost Ideas for Worksite Wellness tip sheet that they would like to incorporate into their daily/monthly planning;

• Review the SuperTracker website; and

– Encourage participants to share the website with their program staff and parents;

• Insert local staff wellness activities that are available for participants to participate in.

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The Mindful Minute Guide:Let’s begin our mindful minute. Find a comfortable sitting position. Allow your body to relax, drop your shoulders, and rest your arms and legs. Close or half-close your eyes, or if you prefer, keep them open and look at a comforting sight.

Stop talking for about 5 to 10 seconds and let the room become still. Continue with:

Start by being aware of the sounds around you…the subtle sounds…like the sound of air moving around the room...soft sounds in the background...let your awareness go deeper to the sound of your own breathing...

Be aware of your own breath going in and out…in your mind, see the air going in and see the air going out...

If thoughts or emotions arise, notice them, but don’t follow their story line. Instead, con sider them as clouds drifting by on a summer day. Be aware of how your body is respond ing right now…be aware of the sensations of breathing in your chest, the gentle beating of your heart, the way that your back rests into the curve of the chair...

Be here in the fullness of your being…your breathing, your heart beating, the clouds of your thoughts and emotions gently passing by.

Give people about 10 seconds of silence to get immersed in this feeling.

Be aware of the sound of your breathing, aware of the air going in and out...aware of the sounds in the room... the subtle sounds around you…When you feel comfortable, begin to open your eyes and rejoin the group, alert and aware...

Instructor’s Note: After this activity, don’t try to process it immediately. Allow people to stand up, stretch, and slowly come back to the class experience. Gently, ask people how it felt. Don’t press for details of either good or indifferent experiences.

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101 Low-cost ideas for worksite wellness The following ideas for worksite wellness can be implemented with limited resources. Many of these ideas have been found to help employees of all physical abilities maintain their health. PHYSICAL ACTIVITY

1. Encourage employees to walk to a specific location and log individual miles for incentive prizes.

2. Participate in community walks (i.e., March of Dimes or walks for heart disease or cancer). Ask your company to sponsor employee participants or to match employee contributions.

3. Map out indoor and outdoor walking trails accessible to employees of all abilities. Measure the distance in halls and around the building to help employees set walking goals.

4. Encourage managers to hold walking meetings when gathering with a small number of employees.

5. Offer flexible lunch periods and breaks to encourage individual, group or “buddy” walks. 6. Offer incentives for distance parking and for employees who walk or bicycle to work. 7. Promote a stairwell (“Stair Well”) climbing competition. Convert stairwells to walking areas

by improving the lighting and adding of colorful posters. 8. Suggest that employees stretch for one minute before work each day. Announce a one-

minute stretch on the intercom system. 9. Encourage physical activity breaks during long meetings and conferences. 10. Identify places within the worksite or around the building for physical activities. 11. Start a running, biking, walking or line dancing club. 12. Encourage employer-sponsored youth athletic teams, along with employee volunteer

coaches. 13. Have a goal of the week or month (i.e., “I will exercise every day for a week”). Keep a chart

of weekly or monthly exercise goals in the office. 14. Negotiate corporate discounts for health club memberships. 15. Place physical fitness bulletin boards in strategic areas. 16. Advertise an exercise equipment swap. 17. Purchase fitness CDs and DVDs that employees may borrow. 18. Invite consultants from retail shoe stores or shoe manufacturers to be on-site for a day. 19. Promote a bike helmet fitting day. 20. Provide bicycle racks or a fenced-in area for bicyclists in a well-lit section of the property.

NUTRITION

21. Ask your vending machine company to add healthy foods. 22. Use vending machine commissions to help fund wellness programs.

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23. Work with your vending machine company and cafeteria to post calories and nutrient contents and amounts on vending machines, lunchroom tables, etc.

24. Place incentive stickers on low-fat items in vending machines and on healthy choice selections in the cafeteria.

25. Develop a cookbook of employees’ low-fat recipes, exchange recipes and feature healthy employee recipes periodically on the cafeteria menu.

26. Hold recipe contests. 27. Celebrate “Free Fruit Day” and give away apples. 28. Have a homegrown fruit and vegetable exchange. 29. Request that cafeteria vendors serve low-fat, low-cholesterol, nutritious foods. 30. Encourage “Fruit and Vegetable Day” in the cafeteria. 31. Identify one heart-healthy snack idea daily in the cafeteria. 32. Request that cafeteria foods be made from 1 percent milk instead of whole. 33. Hold low-fat cooking demonstrations. 34. Suggest that employees keep a list of healthy, low-fat snacks in their cars to use when

shopping Encourage employees to bring yogurt, fruits and fat-free condiments to work. 35. Plan company functions with heart-healthy eating choices in mind. 36. Conduct a support group for weight management. Sponsor company weight reduction

programs. 37. Offer information on packing healthy brown bag lunches. 38. Hold an employee luncheon — bring a healthy lunch to pass and share the recipe. 39. Encourage employees to bring crock pots of heart-healthy soup and share with others. 40. Promote an “Eat Your Greens” campaign on St. Patrick’s Day. 41. Share mocktail (non-alcoholic beverage) recipes. 42. Offer a kitchen area accessible to all employees. 43. Offer reasonable prices for healthy snacks (i.e., fresh fruit or yogurt), meals and salad bars. 44. Place myplate.gov charts in break room and cafeteria areas. 45. Have office water coolers readily available. 46. Have employees keep track of their grocery list for two weeks and offer prizes for those

who consistently buy healthy food options. 47. Offer nutrition-related movies, books and brochures that can be borrowed and exchanged

among employees. STRESS MANAGEMENT (Exercise and good nutrition are great stress-busters.)

48. Offer chair massages at health fairs. 49. Take stress relief breaks (i.e., meditation, walking or just closing the office door).

Encourage employees to take time for themselves. 50. Suggest that employees volunteer to take a pet from a shelter for a walk.

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51. Encourage laughter to reduce stress at the worksite. 52. Provide employees with relaxation music. 53. E-mail computer break tips. 54. Address emotional and spiritual concerns with self-help books that can be borrowed or

exchanged. 55. Get involved with community volunteer activities. 56. Encourage employees to mentor a child. 57. Encourage staff to take meal breaks. 58. Send out daily quotes with encouraging messages and have employees share their

favorites to use in the following days. 59. Encourage self-confidence and positive outlooks. 60. Promote a “Call-a-Friend” campaign. Provide social support. 61. Hold a secret pal drawing. During the month, each employee is encouraged to do nice

things for his or her secret pal (i.e., e-mail messages a secret message left on a chair or special gifts, such as fat-free candy or homegrown flowers).

TOBACCO 62. Promote smoke-free buildings and meeting rooms. 63. Provide health information focused on monthly or seasonal events (i.e., the Great

American Smokeout). 64. Provide on-site smoking cessation programs. 65. Reimburse employees for enrolling in smoking cessation programs. 66. Provide a tobacco savings calculator tool and have employees see what they could do with

money they spend on tobacco each year. 67. Give small gift cards to those who agree to not smoke and avoid alcohol.

PROGRAM SUPPORT

68. Provide incentives, such as T-shirts, caps or aprons. Arrange paid time off. 69. Hold contests: “Wellness Project of the Month” or “Set Your Goal” competition,

employee/management and interdepartmental challenges, health trivia game with prizes, and other fun worksite competitions.

70. Set up displays in the reception area or lobby. Display health posters in employees’ lunch or meeting rooms.

71. Send health related e-cards (found on free sites like the CDC website). Topics include tobacco cessation, heart health, cold and fly, and other health related topics.

72. When hosting team competitions, have the winning teams’ supervisor or manager prepare a healthy meals or snack for employees.

73. Host a lunch and learn on disaster preparedness plan for the company in emergency situations like earthquakes and security measures.

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74. Provide bulletin boards for health information exchange and for people to record milestones they have achieved in health (i.e., New Year’s resolution, miles walked or pounds lost).

75. Announce and publicize a monthly health theme or National Health Observance 76. Conduct recognition activities for employees making efforts at healthier lifestyles (i.e.,

bulletin board listings, healthy incentives or discounts to health clubs). Send employees personally-signed letters from the CEO congratulating their healthy behaviors. Promote success stories or employees of the month. Recognize the coordinator of wellness activities.

77. Kick off “lunch and learn” programs. Use videos and guest speakers on various health topics at lunchtime. Urge employees to bring a healthy brown bag lunch.

78. Include children of employees in a drawing contest with health as the theme. 79. Provide child care so that parents can participate in wellness activities. 80. Have a company health practitioner set a time (weekly or monthly) to check blood

pressure, body fat and weight. 81. Provide flu shots at the worksite or make schedules of community clinics available. 82. Provide one-on-one counseling for high-risk employees and people with disabilities by

establishing wellness mentoring programs. 83. Develop a brainstorming team for ideas and to help with wellness activities. 84. Conduct a survey to assess what topics employees want to pursue. 85. At meetings:

• Start with a stretch and take a relaxation break in the middle. • Conduct a wellness activity. • Recognize an employee birthday or other special event. • Vary meeting formats. Include prizes for good ideas. • Allow staff members to occasionally lead a meeting.

86. Provide information on back care (i.e., the correct way to lift, stretch and exercise for strength).

87. Partner with other local organizations to sponsor an event. Share expenses and resources. Network with other businesses for discounts at health clubs.

88. Obtain company discounts. 89. Rotate departmental responsibility and ask interns to assist with wellness projects and

events. 90. Gain senior management support by showing a good example. 91. Create a wellness newsletter. Highlight healthy lifestyle success stories. 92. Conduct employee health fairs with wellness giveaways (i.e., gift certificates to a farmers

market or fruit stand). 93. Provide health information (such as fact sheets) for employees to take home. Distribute

safety information before long holiday weekends.

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94. Conduct a retirement seminar focusing on wellness for retirement. 95. Conduct a “Wash Your Hands” campaign. 96. Include health information with paychecks (payroll stuffers). 97. Publish weekly health tips via internal e-mail. 98. Attend classes on positive management styles. 99. Change and clean filters on air conditioners more frequently. 100. Track illness in a department and alert employees by providing precaution and prevention

tips. 101. Offer a casual day the last Friday of each month for employees who donated or

volunteered to a local charity during the month.

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PPT Part E – Healthy Recipes (30 min.)

SET UP:

• Choose 2-3 recipes from the Meals Without Squeals: Child Care Feeding Guide and Cookbook (pages 113-188); and

• Shop and prepare the ingredients prior to the Learning Session.

PRESENT:

• Designate different areas of the room as recipe stations; and

• Set up recipe stations with recipe cards, ingredients, kitchen equipment, and materials.

Note: Depending on the training space, extension cords may be needed for this activity.

ACTION:

• Distribute the Meals Without Squeals: Child Care Feeding Guide and Cookbook, one per program;

• Split participants into small groups; and

• Using the recipe cards, ask participants to make their assigned recipe.

Part 2: Content Implementation – Learning Session 5

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PPT Part F – Active Play! Fun Physical Activities for Young Children (15 min.)

SET UP:

• Gather materials needed for the chosen activities from the Dr. Craft’s Active Play! book.

• Set up the Active Play! Fun Physical Activities for Young Children DVD.

PRESENT:

• PPT Part E: Active Play! Fun Physical Activities for Young Children.

ACTION:

• Choose and conduct two activities from the Dr. Craft’s Active Play! book.

• Facilitate a large group discussion:

– How can the activity be made age appropriate for infants, toddlers, and preschoolers?

– How can the activity be modified using other equipment or materials (preferably low cost items)?

– What Early Learning Standards do these activities support?

– What are some ways program staff can use these activities to develop their lesson plans?

– What are some ways these activities can be used to involve parents and families?

• Using the Dr. Craft’s Active Play! DVD located in the back of the Dr. Craft’s Active Play! book, play the video of one of the activities conducted to give participants additional ideas of how to modify the activities.

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Evaluation: LS5 Feedback Forms, LMCC Quiz, and LS5 Post-Test

SET UP:

• Distribute the LS5 Feedback Forms, Let’s Move! Child Care Quiz, and LS5 Post-Tests;

• Set up any take-away materials assembly line style on the check-in tables;

• Provide a container for participants to drop off nametags;

• Provide a space or box to collect completed Feedback Forms, LMCC Quizzes, and Post-Tests; and

• Assign one person to highlight (or otherwise record) the program name on a list after all documents and nametags are collected and take-away items are picked up; and

• Set up the National Early Care and Education Learning Collaboratives completion certificates.

ACTION:

• Remind everyone about next steps. When they get back to their programs, start developing program policies that will support best practices identified in their Long-Term Action Plan.

ACTION:

• Thank participants for being a part of the Learning Collaborative;

• Ask participants to complete the Feedback Forms, LMCC Quizzes, Post-Test for LS5 and assure them that the forms are reviewed and their suggestions are used to make future changes to the Collaborative;

• Request that participants do the following before leaving today:

– Drop their nametag in the container on the check-in table; Turn in their forms;

– Collect their National Early Care and Education Learning Collaboratives completion certificate; and

• Set aside 15 minutes to sit down with your co-trainer(s) and volunteers to discuss and record first thoughts about what went well and what could be improved.

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Let’s Move! Child Care Checklist Quiz

The Let’s Move! Child Care best practices are listed on the left. Please check the box under the statement that best describes your current situation.

Best Practices

Yes, fully meeting this best practice

Making progress

on meeting this best practice

Ready to get started on meeting

this best practice

Unable to work on

meeting this best

practice right now

Answer if you serve TODDLERS or PRESCHOOLERS Drinking water is visible and available inside and outside for self-serve

100% fruit juice is limited to no more than 4-6 oz. per day per child and parents are encouraged to support this limit

Sugary drinks, including fruit drinks, sports drinks, sweet tea, and soda, are never offered

Children 2 years and older are served only 1% or skim/non-fat milk (unless otherwise directed by the child’s health provider)

Fruit (not juice) and/or a vegetable is served to toddlers and preschoolers at every meal (French fries, tator tots, and hash browns don’t count as vegetables)

French fries, tator tots, hash browns, potato chips, or other fried or pre-fried potatoes are offered to toddlers and preschoolers no more than once a month (Baked fries are okay)

Chicken nuggets, fish sticks, and other fried or pre-fried forms of frozen and breaded meats or fish are offered to toddlers and preschoolers no more than once a month

Answer if you serve PRESCHOOLERS All meals to preschoolers are served family style so that children are encouraged to serve themselves with limited help

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Best Practices

Yes, fully meeting this best practice

Making progress

on meeting this best practice

Ready to get started on meeting

this best practice

Unable to work on

meeting this best

practice right now

Answer if you serve PRESCHOOLERS Preschoolers, including children with special needs, are provided with 120 minutes or more of active play time every day, both indoor and outdoor (for half-day programs, 60 minutes or more is provided for active play every day)

We strive to limit total screen time (e.g., TV and DVD viewing, computer use) to no more than 30 minutes for preschoolers at child care per week or never, and we work with parents/caregivers to ensure that children have no more than 1-2 hours per day (for half-day programs, we strive to limit total screen time to no more than 15 minutes per week or never)

Parents of preschoolers are provided screen time reduction and/or media literacy education such as special programs, newsletters, or information sheets, 2 or more times per year

Answer if you serve TODDLERS Toddlers, including children with special needs, are provided with 60-90 minutes or more of active play time every day, both indoor and outdoor (for half-day programs, 30 minutes or more is provided for active play every day)

Answer if you serve INFANTS or TODDLERS Screen time for toddlers and infants is limited to no more than 3-4 times per year or is never allowed

Answer if you serve INFANTS Breastfeeding mothers are provided access to a private room for breastfeeding or pumping, other than a bathroom, with appropriate seating and privacy

Short supervised periods of tummy time are provided for all infants, including those with special needs several times each day

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Learning Objectives Post-TestLearning Session 5: Celebrating Success: Our Plans in Action!

Date: ________________________ Learning Session Location: ______________________________________

Now that the Learning Session 5 is complete, please answer the following questions. The responses to all questions on this page will be kept confidential. There is no right or wrong answer to any of these questions.

1.) I feel that I have the knowledge and ability to…

Strongly Disagree Disagree Neutral Agree Strongly

Agree…participate in at least one physical activity that supports moderate to vigorous physical activity using Dr. Craft’s Active Play! book.

1 2 3 4 5

…implement at least one physical activity that supports moderate to vigorous physical activity using Dr. Craft’s Active Play! book in my program.

1 2 3 4 5

…prepare two healthy snacks using Meals Without Squeals: Child Care Feeding Guide and Cookbook.

1 2 3 4 5

…implement two healthy snacks using Meals Without Squeals: Child Care Feeding Guide and Cookbook in my program.

1 2 3 4 5

…use a storyboard presentation to show at least one change within my program that supports the best practices for healthy eating, physical activity, screen time, and/or breastfeeding support.

1 2 3 4 5

…use the 101 Low-Cost Ideas for Worksite Wellness resource to identify two ideas I would like to use to improve staff wellness in my program.

1 2 3 4 5

…continue my Long-Term Action Plan and establish program policies to support implementation of best practices for healthy eating, physical activity, screen time, and/or breastfeeding support in my program.

1 2 3 4 5

2.) Please provide your position (check one):

w Lead teacher

w Food service director

w Program director

w Other: ________________________________

3.) Program Site Name: _________________________

4.) Program City: ______________________________

5.) Program State: ______________________________

6.) Enrollment ID: ______________________________

7.) Your Birth MONTH: ___________________________

8.) Your Birth DAY: ______________________________

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Participant Feedback FormLearning Session 5: Celebrating Success: Our Plans in Action!

Date: ________________________ Learning Session Location: ______________________________________

Please answer the following questions. There is no right or wrong answer to any of these questions.

1. What I liked best about this session…

2. What improvements could be made?

3. A light bulb went on in my brain when…

4. As an early childhood leader, my greatest challenge at the moment is…

5. I still want to know more about…

6. I feel confident that I can use the materials (recipes and Active Play! Fun Physical Activities for Young Children) from today’s training to help my staff more effectively engage children and their families in activities that build healthy habits for life

w Yes w No

7. I feel confident that our program can fully implement and support our Action Plan for Healthy Change in collaboration with our staff, children and families.

w Yes w No

8. Anything else you would like us to know?

9. Program Site Name: ________________________

10. Program City: _____________________________

11. Program State: ____________________________

12. Enrollment ID: ____________________________

13. Your Birth MONTH: __________________________

14. Your Birth DAY: ____________________________

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1. Institute of Medicine National Research Council of the National Academies. Children’s Health, the Nation’s Wealth: Assessing and Improving Child Health. 2004. Retrieved September 20, 2010 from http://www.nap.edu/catalog.php?record_id=10886

2. Shonkoff, J. and Phillips, D. Editors; Committee on Integrating the Science of Early Childhood Development; National Research Council and Institute of Medicine. From Neurons to Neighborhoods: The Science of Early Childhood Development. National Academies Press: 2000: 1-612. Retrieved September 30, 2010 from http://www.nap.edu/openbook.php?isbn=0309069882

3. Fine, A. and Hicks, M. Health matters: The role of health and the health sector in place-based initiatives for young children. Prepared for the W.K. Kellogg Foundation. 2008. Retrieved October 8, 2010 from http://ww2.wkkf.org/default.aspx?tabid=134&CID=- 1&CatID=1&NID=212&LanguageID=0

4. Center on the Developing Child at Harvard University. The Foundations of Lifelong Health Are Built in Early Childhood. 2010.Retrieved September 20, 2010 from http://developingchild.harvard.edu/initiatives/council/

5. Peterson, E. Early Childhood Development: Building Blocks for Life, A Briefing Paper. Greater Twin Cities United Way Research and Planning. 2010. Retrieved October 7, 2010 http://www.unitedwaytwincities.org/newsandevents/documents/eli_BriefingPaperFinal.pdf

6. Woodward-Lopez, G., Ikeda, J., Crawford, P., et al. The Research Section of Improving Children’s Academic Performance, Health, and Quality of Life: A Top Policy Commitment in Response to Children’s Obesity and Health Crisis in California. CEWAER (California Elected Women’s Association for Education and Research) and University of California, Center for Weight and Health, Berkeley, CA. 2000. Retrieved September 20, 2010 from http://cwh.berkeley.edu/sites/greeneventsguide.org.cwh/files/primary_pdfs/CewaerPaper_ Research.pdf

7. High, P. and the Committee on Early Childhood, Adoption, and Dependent Care and Council on School Health. School Readiness.Pediatrics. 2008; 121; 1008-1015.

8. Ritchie, L., Ho, J., & Allister, C. 2009. Intervening in Early Childhood to Prevent Obesity: Best Practices for Home and Child Care Settings. Center for Weight and Health: University of California, Berkley. Retrieved October 7 from http://cwh.berkeley.edu/sites/ default/files/primary_pdfs/Early_Childhood_Intervention_Review_12.09_0.pdf

9. Reynolds, A., Temple, J., Robertson, D., and Mann, E. Long-term effects of an early childhood intervention on educational achievement and juvenile arrest: A 15-year follow-up of low-income children in public schools. Journal of the American Medical Association. 2001; 285 (18), 2339-2346. Retrieved October 13, 2010 from http://jama.ama-assn.org/cgi/reprint/285/18/2339

10. Weight-control Information Network. 2010. Overweight and Obesity Statistics. U.S. Department of Health and Human Services & National Institutes of Health. Retrieved September 20, 2010 from http://www.win.niddk.nih.gov/statistics/index.htm

11. Van Vrancken-Tompkins CL, Sothern MS. Preventing obesity in children from birth to five years. In: Tremblay RE, Barr RG, Peters RDeV, eds. Encyclopedia on Early Childhood Development [online]. Montreal, Quebec: Centre of Excellence for Early Childhood Development; 2006:1-7. Retrieved October 7, 2010 from: http://www.enfant-encyclopedie.com/pages/PDF/ VanVrancken-Tompkins-SothernANGxp.pdf

12. Ogden, C., Carroll, M., and Flegal, K. High Body Mass Index for Age among U.S. Children and Adolescents, 2003-2006. Journal of the American Medical Association. 2008. 299; 2401-2005. Retrieved October, 13, 2010 from http://jama.ama-assn.org/cgi/ reprint/299/20/2401

13. Trust for America’s Health and Robert Wood Johnson Foundation. F as in Fat: How Obesity Policies Are Failing in America. 2009.Retrieved October 13, 2010 from http://healthyamericans.org/reports/obesity2009/Obesity2009Report.pdf

14. Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. 1985-2009. Retrieved October 7, 2010 from http://www.cdc.gov/brfss/

15. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance Survey, 2011. Retrieved on December 28, 2012 from http://www.cdc.gov/obesity/data/adult.html

REFERENCES FOR: Taking Steps to Healthy Success: An Early Care and Education Learning Collaborative to Promote Healthy Practices and Prevent Obesity

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