2. Getting to Know You
• Name
• Year in School
• Major
• Why do you want to be a part of GOAL?
3. What Is Public Health?
• “To promote health and quality of life by preventing and controlling
disease, injury, and disability.”
– CDC Mission Statement
• “Health is a state of complete physical, mental and social well-being
and not merely the absence of disease or infirmity"
– WHO Definition of Health
• Public Health’s mission is to create the conditions within which people
can be healthy
– Paraphrase of IOM report
• “Public Health shapes the context within which people and communities
can be safe and healthy.”
– Henry Taylor’s definition
4. Public Health
• Public Health Core Functions
– Assessment
– Policy Development
– Assurance
• Encourage, require and provide necessary
services, guarantee high priority personal and
community-wide health services, including
subsidization for those unable to afford them
5. Childhood Obesity
• Childhood obesity has more than doubled in
children and quadrupled in adolescents in the
past 30 years.
• Nearly 1 in 3 children in the United States are
overweight or obese.
• 60% of these children already have one risk
factor for cardiovascular disease. 25% have 2
or more.
• Why?
6. Childhood Obesity
• Children who are overweight or obese are
likely to become overweight or obese adults.
• Children who are of low socioeconomic
status are at an even greater risk.
10. Part of the Solution?
Healthy Family Lifestyle Program
A FREE family-focused, community approach to decreasing childhood overweight/
obesity and encouraging healthy lifestyles for children and their families through
education and activity.
11. Welcome to
• Intensive 12-week program
– Physician referrals
– Group setting
– Family focus
– Exercise, nutrition and behavioral education
– Physical Activity opportunities
• Weekly games and activities
• Field trips
– Goal Setting
• Ongoing follow-up support
• Limited reach
12. GOAL GOAL University
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G.O.A.L.
Intervention
GOAL Training GOAL University
Field Trips
Medical
Nutrition
Therapy
Newsletters
Field Trips
GOAL App
Health
Coaching
13. GOAL University
• Prevention program for Elementary
Schools (K-6)
– Partnered with MCCSC School Age Care
and IU students
• Condensed GOAL curriculum
– Nutrition and activity education
– 6 weeks of education and goals
• Meet with students 2x/week
• Site coordinators remind parents and
students about weekly goals
14. GOAL University
• Nutrition Education
– MyPlate
• Food Groups (Whole Grains, Fruits/Veggies, Protein,
Dairy)
– Portion Sizes
– Breakfast
– Sugary Drinks
• Activity Education
– Types of Physical Activity
– Reducing Screen Time
– Pedometers (Adding steps to your day)
– Group Exercise
– Muscles of the Body
– Jump Rope
15. Program Goals
• Primary Goals
– Increase knowledge of nutrition and physical
activity concepts
– Improve attitudes towards physical
activity and nutrition
• Long-term Goal
– Improve behaviors regarding choices
in nutrition and physical activity
16. GOAL University Outcomes
• Pre/post knowledge questions
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Question: Pre (correct
response)
Post (correct
response)
Change
Calcium is in what food?* (pictures and description) 40.3% 69.1% +28.8%
Whole grains are in what food?* 65.2% 86.8% +21.6%
Should you eat breakfast every day? 95.3% 94.5% -0.8%
Divide and fill in the My Plate picture below with food
groups and portion sizes:
5.6% 62.0% +56.4%
How many steps should you take each day? 40.0% 64.7% +24.7%
Which of these is a resistance exercise? 47.8% 57.7% +9.9%
Which of these is a cardiovascular exercise that works the
heart and lungs?
56.7% 66.0% +9.3%
How much should you exercise/be active each day? 37.3% 75.5% +38.2%
17. GOAL University Outcomes
Pre/post behavioral questions:
• 91.8% of GOAL U students reported eating breakfast every day
– a 21% increase from the pre-program evaluation results (70.8%
reported eating breakfast every day)
• 24.1% of GOAL U students reported watching “a lot of TV,”
• 26.4% decrease from the pre-program evaluation results
• 24.3% increase in students who reported watching “a little TV,”
complementing the decrease of students who watch a lot of TV. The
evaluation showed a 65.5% of students reported watching “a little TV” in the
post-program evaluation.
• 5.1% decrease in the number of students who said they did not exercise
4/21/2016 17
18. Partnerships
• IU Health (G.O.A.L. program staff)
• After School Care
– MCCSC School-Age Care on site
– Each school hires site coordinators and
assistants
• IU students
– School of Nursing
– School of Public Health
– Timmy Foundation for Global Health
20. What to Expect
1. Initial Preparation
2. Weekly Preparation
3. Weekly Programs
4. Weekly Post-program Responsibilities
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21. 1. Initial Preparation
• Background Check
• Volunteer Agreement (MOU)
• Identify a team lead
• Site visit
– Friday, February 26th at 4:15pm
4/21/2016 21
22. 1. Initial Preparation
• Team lead will confirm the site visit with the
after-school program coordinator
Courtney Morgan
After-School Program Coordinator
ckmorgan74@yahoo.com
4/21/2016 22
23. 2. Weekly Preparation
Ridpath Elementary School
Friday afternoons
4:15-5:30pm
March 4 – April 22
(skip Spring Break week)
4/21/2016 23
24. 2. Weekly Preparation
• Read through curriculum and make notes
– Binder with team lead
– Weekly emails from me
• Create outline of the week and designate
who will lead which part (group
email/meeting)
4/21/2016 24
25. 2. Weekly Preparation
• Travel to Ridpath Elementary and check in
with site coordinator.
• Bring out the weekly equipment bin.
• Arrive early (3:45pm) to make sure
equipment is ready to go. Some games and
activities require set up. The session should
begin right at 4:15pm.
4/21/2016 25
26. 3. Weekly Programs
• Dress (coordinated)
• Understand and prepare for your role each week
• Bring outline, but do not read from the script
– Focus on the big objectives and make it FUN!
– Flexibility
• Lean on site coordinators for assistance with
classroom control
• Have fun! Interact! Be personable! Go out of
your comfort zone!
4/21/2016 26
27. 3. Weekly Programs
• Daily Schedule
– Warm-Up Game (10-15 minutes)
– Check goals in binders (5 minutes)
– Nutrition Education and Activities (30 minutes)
– Physical Activity (30 minutes)
– Clean up (10 minutes)
4/21/2016 27
28. 3. Weekly Programs
• Goals
– Each week the students are asked to meet
two goals that coincide with lessons
– No parent accountability so
conversations/reinforcement with students is
important
– Student Binders (use goals in the curriculum)
– Sticker for each goal met
– Students that meet 8 of 12 goals receive a
GOAL University glow-in-the-dark wristband
at the end of the program
4/21/2016 28
29. 4. Post-Program Responsibilities
• Ensure that all equipment has been collected
and reorganized
• Conduct informal post-lesson evaluation (with
team)
• Submit individual evaluation to me via email
– Answer thoroughly and honestly. Give us
suggestions and don’t be afraid to ask
questions. We strive for continuous
improvement.
– Did everyone receive my email?
4/21/2016 29
30. Team Member Roles
• Team Lead
– Organize carpools with team
– Serve as the point of contact for program
coordinator and site coordinator (48 hours)
– Ensure team is up-to-date on program
information
– Ensure curriculum is effectively delivered
including making necessary adjustments
– Ensure all equipment is collected and report
any missing or damaged items
31. Team Member Roles
• Lesson Leaders
– Implement your portion of the lesson (Physical activity
or Nutrition)
– Understand your portion of the curriculum thoroughly
to ensure that you can relay information without
reading
• Facilitators
– Sit with the students and ensure that they are on task
– Answer any smaller questions, stop side
conversations or problem behavior before it affects
others around
32. Getting to know your team
• Introduce yourself and share any prior
experience working with children or health
education programs.
• How do you feel about working with children?
• What concerns does your group have, or do
you feel confident and why?
• Opportunity to ask questions
Essentially what we will be doing is one aspect of public health. What is public health (read one definition). Less about diagnosis and more about setting people up for success, and preventing diseases before progression. Focus on populations v. individuals. Create the environment and offer the resources needed for them to be healthy.
3 core functions of public health
Assessment: painting the picture of what is happening. Must understand the problem before solving it
Policy: what are some public health policies that you know of now? Maybe on campus? (no smoking on campus, environmental emissions from cars and factories?, smaller scale in schools: no competitive foods in the vending machines or sold outside of school cafeterias now)
Assurance: this is where we fit in
*Focus on building healthy lifestyles, not on weight management
*Additional reach to more students in our community
*Win-win-win situation: how all 3 partners benefit
