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Community Nutrition Grant

Cover Sheet

Project Title: Get Cooking and Moving to a Healthier Life

Grant Team Members

Name Role in the project

Nikki Finkenthal 1/3 of each component of project

Rachel Krivoshey 1/3 of each component of project

Greg Martin 1/3 of each component of project

Topic Area :
o Elementary students grade(s): ages 7-10 (grade second to
fourth)

Amount of Funding Requested: $20,720

Brief description of your program (abstract):


The general purpose of our project is to reduce Obesity rate amongst
children ages 7-10 in the Butler County area (Oxford, OH). The goal of
our program is to develop increased activity in children, develop a
healthy diet in children and families, and have more healthy meals
prepared at home. This will be achieved through a program where
children will partake in fun physical activity while their parents will
learn how to prepare healthy meals for their family. This will occur
twice a week for three months. We expect this program to build
healthy habits in children and parents through physical activity and
healthy cooking. Hopefully our program will have a long lasting affect
on its participants.

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TABLE OF CONTENTS

Part 1: Introduction/Literature Review

Part 2: Project Narrative (Goals and Objectives)

Statement of Problem

Participants

Action/Activities Plan

Goals and Objectives

Evaluation

Dissemination of Research

Time Frame

Part 4: Logic Model

Part 5: Budget and Budget Justification (Personnel)

Part 6: References

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Part 1-Literature Review
Background Info- Childhood Obesity Statistics

Childhood obesity is an epidemic sweeping not only our nation, but in many developed and
developing countries around the world. Estimated that 155 million, or one in 10 school-age children
are overweight or obese (Wang 2012). More specifically in the state of Ohio the rates of children
that are overweight or obese are 15% and 12% respectively (CDC). With the rates of this problem
continuously rising many health and medical professionals are looking into the many possible causes.
Economic and social backgrounds are the two most looked at causes of the health concern and the
effect it has (Bessler). Parents, home, food market, neighborhoods, school media and social
networks (Papoutsi) all tie back to the issue at hand. Along with these issues, is the high rates of
unhealthy dietary behaviors and inadequate levels of physical activity. Throughout the state of Ohio
alone it is reported that 74% of children do not consume the required amount of fruits per day and
an immense 89% do not get their recommended daily amount of vegetables (National Initiative for
Childrens Healthcare Quality). Combining this lack of fruit and vegetable consumption with the
14% of children who are physically inactive cause reason for concern (CDC). Relating major
contributors such as these helps give society a better idea at how to attack the problem and form
prevention methods to help the millions affected by the problem researchers classify as the primary
problem of childhood (Koukourikos).

Socioeconomic status has an immense influence on the problems individuals face within their
community. This can determine the availability of food and safe places for children to be active
(Papoutsi). Within Butler county there are 1.7 grocery stores available per 10,000 people and only 0.1
farmers markets (NICHQ). Local and community farmers markets and gardens provide a great
opportunity for school field trips where students can talk to local producers about how food is grown,
and learn about economics as well (Belser, Morris, Hasselbeck). This compares to seven fast-food
restaurants available per 10,000 people. With the availability of food stores skewed to the unhealthy
eateries it becomes an quick affordable option to choose an unhealthy meal over a nutritious one
when 13% of Butler county children live in poverty. (NICHQ) The extent to which socioeconomic
status affects food choices is reflected in a previously conducted intervention. The results of this
study showed that schools with a higher rate of free or reduced lunches had a higher increase of
health food choices than schools that had lower rates of free or reduced lunches (Struempler et al.).

Educational Programs

The implementation of programs to educate people on the risks and and complications of obesity has
been increasing ever since childhood obesity has become an epidemic. One intervention in particular
involves group counseling for the children and the parents to ensure support, and provide the
information in an enjoyable way (Santiprahob et al.). With the separate sessions children are more
engaged and comprehensive of the information presented to them. In the sessions the use of games to
educate the children provides a positive view of physical activity and the importance of healthy diet
without discouraging them (Santiprahob et al.).

While education is key for success in preventing obesity as well as a necessity in 7-10 year old
population, it is also important to note that most successful programs have several different aspects to
their programs. In a particular program it included four components including modified dietary
offerings, nutrition/lifestyle education, physical activity component, and wellness projects done with
the students(Hollar et al.). This program had high success rates because it formed childrens habits in

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each aspect of their lives. This is why we chose to have a dual aspect program intact to prevent and
reduce obesity amongst 7-10 year olds. There is such importance on targeting this age group because
the students have not yet fully developed their nutritional habits. By educating them at an early age
and stressing the importance of physical activity the students are more likely to develop healthy
lifestyle habits at an early age that will carry on throughout their life.

Nutritional Programs

With the implementation of educational programs medical professionals, families and the children
affected by the epidemic of obesity need to not only get an educational perspective, but also to also
be involved in first hand direct programs that will help change their lifestyles. Introducing these
individuals to nutrition programs gives them a better understanding and useful techniques to directly
change their health and food eating behaviors. Pediatrician Christopher Magryta, has noticed the
impact of childhood obesity on many of his patients and states that We need comprehensive
prevention strategies that educate our families and provide healthy food choice in our public
institutions (Magryta 2009, 352-353). Nutrition programs give all those affected by obesity a change
in lifestyle that can help encourage one another to make permanent change and to strive for a decline
in obesity and the medical problems it entails. The group Parents and Tots Together is a family based
obesity program that encourages parents to become involved in the change and participation of their
childs obesity problem, this program is an ideal to get all factors involved. Interventions must be
developed to provide parents with skills to create a healthful home environment (OBrien). The
combinations of educational and nutritional programs are the two most effective forms of
intervention that our society needs to attack a problem as large as obesity, which is why parents will
be present during the twelve sessions of this program.

The key to any intervention is to ensure that it is designed appropriately for its targeted
audience, and one successful study conducted shows this importance. The Body Quest initiative
focused on increasing the consumption of fruits and vegetables among third grade students through
education on numerous nutrition topics. This was done through traditional education along with
tasting of fruits and vegetables. Tastings were integral as they exposed students to fruits and
vegetables and removed accessibility barriers that students face at home (Struempler). By providing
students the opportunity to try new healthy foods it broadens their horizon to options they were never
aware of making it a vital component of intervention. This is To further engage the children
coordinators implemented the use of Ipad applications to appeal to the youth. When focusing strictly
on the material that is being presented the information can be lost as a result to lack of interest.
Maintaining the attention of the focus groups is the only way to successfully conduct an intervention.

School and Parent Involvement

The target population for this program, children ages 7-10 are fairly influenced by what they see
everyday including their parents nutritional habits, as well as the nutritional environment their
schools create. Most children spend the majority of their time in school, making school the optimal
place to provide optimal obesity intervention(Morrison-Sandburg, Kubick, Johnson). In a school in
Minnesota, the school requires nurses to have the knowledge to conduct obesity intervention
programs in the schools around the area (Morrison-Sandburg, Kubick, Johnson). This was a great
resource for parents, because they found that parents did not know where to go to get obesity help
for their children(Morrison-Sandburg, Kubick, Johnson). The participants of this program liked that
they were getting information from a licensed professional because they were deemed a more
reliable and professional source (Morrison-Sandburg, Kubick, Johnson). This lead us to believe

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that for our program we will be using a reliable professional (school nurse, gym teacher, dietitian,
etc).

Another influence schools hold over childrens nutrition are the types of food sold in schools. In a
study a week of research within an rural, poor, Caucasian elementary school [was conducted] and
found out that once unhealthy items were removed from school cafeterias children made better
nutritious meal decisions inside and outside of school.(Cluss, Fee,Culyba, Bhat, & Owen). If a one
week intervention in the school lunch system can make this sort of lifetime impact, it is clear that a
longer more hands on approach (like this program) will be able to make an even deeper impact while
involving the schools and parents. Although this is program is not directly affected to the types of
foods the schools serve, this program could have a possible domino effect to get schools to go above
and beyond the nutritional standards they have to meet.

On the other hand schools think that parents should provide the education for the children, but
parents think that schools should provide the education for the children (Patino-Fernandez,
Hernandez, Villa, Delamater). This created a lack of overall education for children that will hurt them
greatly in the future. For our experiment we plan on getting the schools and the parents involved,
because they are the most influential factors in the childrens lives. It is important that both schools
and parents are on the same page so children do not get mixed reviews about obesity (nutrition,
education, and physical activity). It was found that the involvement of some sort of parental figure
to make a healthful impact in the childrens life(Shirley et al.). Parents really need to get involved in
their childrens health, because without support they will not change into a healthy lifestyle. In our
program parents will get involved in the education process, but will also need to be supporters of
their childrens healthful lifestyle.

Based off of this information our program will get the children, schools and parents involved by
providing cooking classes for the parents by someone with nutrition knowledge employed by the
school. Meanwhile, the children will partake in physical activity and taste fresh fruits and vegetables
that are available in the local area, and then children along with parents will all share a nutritious
meal at the end. The schools as well as the parents need to be role models for their children to ensure
that they fully understand how important maintaining a healthy lifestyle is.

Part 2- Goals and Objectives


Description of Program:
Our program is a parent, teacher and student based program to educate these individuals on
the issue of obesity, with a major focus on nutrition and physical activity elements. We
planned to have our program go for 2-3 months and will incorporate a class for the parents
about a health related topic that is followed by a demo on healthy cooking. While the parents
are in this class, the students will be focusing on a particular health topic that is related to
physical activity. While engaging in physical activity during the session with a trained
professional the students will learn about the impacts of physical activity on obesity risks and
prevention. After both sessions are complete the parents and students will join together and
enjoy the healthy meal that was prepared and go over what each group learned during the
program for that day.

State the Goals:

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The major goal of our program is to educate parents and students on the risks and prevention
of obesity. Through nutrition and physical education the impact of obesity can be subsided or
ended for these individuals. Our target population is elementary students age 7-10 years old.
This population was chosen because they are old enough to retain the information presented
to them throughout the program, while still being young enough for the program to help
prevent them from developing poor nutritional habits.

1 Outcome Objective:
Decrease obesity rates by 25% in the 7-10 year old population over the next five years after
the last program session

2-3 Impact Objectives:


Increase the consumption of nutritious foods by 25% for the children and their parents who
attend the program
Increase the participation of physical activity outside of school by 50% for the obese students
who attend the program
Increase the overall education and knowledge of obesity by 25% for the 2nd-4th graders in
Oxford, Ohio who attend the program

1 Process Objective:
Dietitian will conduct a 12 program session cooking demo and lessons over the twelve week
program, while a physical education teacher will conduct twelve sessions about physical
activity and its impact on obesity.

Part 3- Methods and Time Frame


Target Population
Elementary School students ages 7-10 in Butler county Ohio
This population has been targeted because childhood obesity has become an epidemic across
the nation. Estimated that 155 million, or one in 10 school-age children are overweight or
obese (Wang). With these astonishing numbers it is vital to educate children about the
importance of nutrition and physical activity at an early age. This will be done through
introducing the participants to a variety of new fruits and vegetables to broaden their horizon
of healthy food. Also games will be played among the children in the program to show that
physical activity can consist of more than exercise and that it can be fun to be active to
encourage them to be active consistently. This is important so that they develop healthy
lifestyle habits that transcend through childhood into their lives as adults.
Expected Participants:
How many Over what Time
o 30 students with at least one parent per student for 3 months
Recruitment Procedures
o Have a booth during parent teacher conferences (Parents Night) to give out education
about the program
o Send home flyers with children at the beginning of the school year through teachers
o Go to local rec league sports and hand out fliers about the programs to parents who
have children who are ages 7-10

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o Ensure to mention while recruiting that the program is free and each time there will
be a free meal at the end of the session
Process Objective Activity Person Expected results of
Assigned to Activity
Task

Decrease obesity and/ or -Have monthly checkups Program change in weight/BMI


the risks by 25% by 6 with the participants to Directors, of children in the
months prior to the last make sure they are on the Physical program, see an
program session right track with continuous Education overall healthier child
physical activity and Teacher and (measured by the
consumption of nutritious Dietitian program directors)
foods

Increase the consumption -While at the program Dietitian the ability for children
of nutritious foods (fruits, ensure that all the meals to choose the healthy
vegetables, low-fat, consumed have nutritious options over
nutrient dense) by 25% of and healthy foods unhealthy options, for
the individuals who attend children to prefer
the program -Have students keep a healthy food over
dietary log of their meals unhealthy foods
outside of the program

-Give parents grocery lists


that include all nutritious
foods that they can buy to
help increase the
consumption

Increase the participation Have students keep an Physical For children to get a
of physical activity outside activity log of their Education minimum of 30
of school by 50% for the physical activities Teacher minutes of physical
obese students who attend (minutes/day) outside of activity outside of
the program school and have parents school
monitor their activity logs

Increase the overall Take a post program test Program Parents will shop for
education and knowledge and compare it to the Director healthy foods over
of obesity by 25% for the results of a pre test given unhealthy ones and
parents who attend the about the education of will be able to prepare
program obesity prevention, risks a healthy meal for
and the overall disease their children

Dietitian will conduct a 12 -Parents will participate in Dietitian and dietitian will use
program session cooking the cooking demo and Physical education and
demo and lessons, while a interactive lessons with the Education knowledge to educate
physical education teacher dietitian Teacher children and parents
will teach sessions about as much as possible
physical activity and its -Students will engage in
various athletic and

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impact on obesity physical activities with the
physical education teacher,
while also participating in a
lesson on how it impacts
obesity prevention

Part 4- Logic Model


Inputs Strategies/Act Outputs Short-Term Medium- Long-Term
ivities Outcomes Term Outcomes
Outcomes

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Butler Parents 30 Increas Devel Reduce
county partake sets e op a obesity
schools in an of knowle patter rates
access educati pare dge of n of Make
to onal nt- healthy increa physical
gymnas cooking child food sed activity a
ium and class to ren and physic daily
cooking make pairs drink al habit
facility healthy will items activit Maintain
(Home meals go Increas y a healthy
econom Student thro e Devel diet on a
ics s ugh awaren op a consiste
classro partake this ess of health nt basis
om) in a prog physic y diet Consciou
Progra physica ram al sly make
m l Ther activity Make healthy
Director educati e importa meals decisions
s, on will nce at on a
Physica class be home normal
l Familie 12 Decrea rather basis
Educati s eat sess se the than
on the ions amount eating Make
Teacher prepare held of out
and duri family
d meal times
Dietitia ng mealtime
after eating
n this a regular
the end out occurran
Cookin of prog
ram ce
g every
equipm progra A
ent, m cook
food session book
resourc ,
es and Nutritio logb
gymnas nal ook,
ium informa and
equipm tion is prog
ent provide ram
Literatu d to the man
re- particip ual
recipes, ants will
flyers, be
logbook give
s, n to
progra each
m set
manual of
s, etc. pare
nt-
KNH child
pairs
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h
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Part 5- Budget
Category Item Description Subtotal

Wages/ Benefits Program Coordinator $6,000

Physical Education Teacher $3,000

Nutritionist/Dietitian $4,500

Material/ Printing for Flyers/ Posters, weekly recipes, and other $400
Supplies education material

Education Log books, Final Cookbooks, Program Manuals $500


Materials

Pre/ Post Tests $100

Weekly Recipes $100

Food Food for 2 times a week for 3 week session $4000

Cooking Knives, Bowls, Utensils, Cutting Boards $1000


Equipment

Paper plates, napkins, and plastic silverware $350

Travel Dietitian/Program coordinator/ Physical education teacher $270


travel 200 miles each x .45 cents mile

Gym Equipment Balls, jump ropes, cones, place mats, etc. $500

Incentives Food as incentive (see food cost above) $0 (included in


food costs)

Miscellaneous Team Meetings $0 (included in


salary)

Renting gym and kitchen space from school (including $0 (included)


electric)

Total $20, 720

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Budget Narrative

Category Item Description Budget Narrative

Wages/ Program Coordinator $6,000- This was chosen because the program
Benefits coordinator has a huge role within this entire
project and deserves a higher wage than the
Physical education teacher and Dietitian. Needed
a higher wage because doing more behind the
scenes work (planning, facilitating, fixing
mistakes, managing, etc.)

Physical Education Teacher $3,000- being paid slightly over $500 per session
for giving up free time and educating children in
physical activity. Also typically get paid around
$22 per hour allowing around 159 hours available
to the program including buying equipment,
setting up equipment, planning activities,
facilitating activities, cleaning up after activities
and being a physical education resource for
parents and children

Nutritionist/Dietitian $4,500- being paid $750 per session because


dietitian is highly educated, teaching cooking as
well as nutrition education, also averagely get
paid $27.38 per hour allowing the dietitian to be
available for 164 hours during the session
(include planning, shopping, education, etc.)

Material/ Printing for Flyers/ Posters, $400- flyers and posters will be for promotional
Supplies weekly recipes, and other aspect as well as printing for other educational
education material materials, color printing costs .9 cents a sheet
allowing over 440 copies for a 3 week period

Education Log books, Final $500- notebooks cost around $3.00 for 30 parents
Materials Cookbooks, Program (or so), program costs $0.9 per manual and final
Manuals cookbooks will be in binders costing about $10 a
binder

Pre/ Post Tests $100- cost for composition of questions


(research),

Weekly Recipes $100- need 30 copies per week plus 30 more


copies for cookbook at $0.9 per copy
(compensating for extra copies)

Food Food for 2 times a week for $4000- around $666 worth of food for each

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3 week session session spending around $10 per person (children
and parents)- want to make as budget friendly as
possible

Cooking Knives, Bowls, Utensils, $1000- We need enough equipment for each
Equipment Cutting Boards parent to have their own amount of supplies.
These items range from $200-50 individually or
in a set.

Paper plates, napkins, and $350-buying bulk items of paper plates, napkins
plastic silverware and silverware is the most budget friendly. These
items range from $100-10 dollars, to ensure
everyone has their own set

Travel Dietitian/Program $270


coordinator/ Physical
education teacher travel 200
miles each x .45 cents mile

Gym Balls, jump ropes, cones, $500-Buying bulk equipment to ensure every
Equipment place mats, etc. child has something to do is the plan. A ball
typically costs around $13.00, $7.00 for jump
ropes, $20.00 for a set of cones and other various
items range within this cost.

Incentives Food as incentive (see food $0 (included in food cost)


cost above)

Miscellaneous Team Meetings $0 (included in salary)

Renting gym and kitchen $0 (included)


space from school (including
electric)

References

Belser, C. T., Morris, J. A, Hasselbeck, J. M. (2012). A call to action: Addressing the childhood
obesity epidemic through comprehensive school counseling programs. Journal of School
Counseling, 10 (23) 1-30

Center for Disease Control, Division of Adolescent and School Health. The 2010 School Health
Profiles. Available online at http://www.cdc.gov/ healthyyouth/profiles/index.htm

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Cluss, P. A., Fee, L., Culyba, R. J., Bhat, K. B., & Owen, K. (2014). Effect of food service nutrition
improvements on elementary school cafeteria lunch purchase patterns. Journal Of School Health,
84(6), 355-362.

Hollar, D., Lombardo, M., Lopez-Mitnik, G., Hollar, T., Almon, M., Agatston, A., & Messiah, S.
(2010). Effective multi-level, multi-sector, school-based obesity prevention programming improves
weight, blood pressure, and academic performance, especially among low-income, minority children.
Journal Of Health Care For The Poor & Underserved, 21(2), 93-108. doi:10.1353/hpu.0.0304

Koukourikos, K., Lavdaniti, M., & Avramika, M. (2013). An overview on childhood obesity.
Progress In Health Sciences, 3(1), 128-133.

Magryta, C. J. (2009). School lunches: a strategy to combat childhood obesity. Explore (New York,
N.Y.), 5(6), 352-353. doi:10.1016/j.explore.2009.09.005

Morrison-Sandberg, L. F., Kubik, M. Y., & Johnson, K. E. (2011). Obesity prevention practices of
elementary school nurses in Minnesota: findings from interviews with licensed school nurses.
Journal Of School Nursing, 27(1), 13-21.

National Initiative for Childrens Healthcare Quality. (2011). Healthy Lifestyles in Butler County,
Ohio. http://obesity.nichq.org/resources/obesity%20factsheets.

OBrien, A., McDONALD, J., & Haines, J. (2013). An Approach to Improve Parent Participation In a
Childhood Obesity Prevention Program. Canadian Journal Of Dietetic Practice & Research, 74(3),
143-145. doi:10.3148/74.3.2013.143

Papoutsi, G. S., Drichoutis, A. C., & Nayga, R. M. (2013). The Causes of Childhood Obesity: A
Survey. Journal Of Economic Surveys, 27(4), 743-767. doi:10.1111/j.1467-6419.2011.00717.x

Patino-Fernandez, A. M., Hernandez, J., Villa, M., & Delamater, A. (2013). School-based health
promotion intervention: parent and school staff perspectives. Journal Of School Health, 83(11), 763-
770.

Santiprahob, J., Leewanun, C., Limprayoon, K., Kiattisakthavee, P., Wongarn, R., Aanpreung, P.,
Likitmaskul, S. (2014). Outcomes of group-based treatment program with parental involvement for
the management of childhood and adolescent obesity. Patient Education and Counseling, 97 (1), 67-
74. doi: http://dx.doi.org/10.1016/j.pec.2014.07.002

Shirley, K., Rutfield, R., Hall, N., Fedor, N., McCaughey, V., & Zajac, K. (2015). Combinations of
obesity prevention strategies in US elementary schools: A critical review. Journal Of Primary
Prevention, 36(1), 1-20. doi:10.1007/s10935-014-0370-3

Struempler, B. J., Parmer, S. M., Mastropietro, L. M., Arsiwalla, D., Bubb, R. R. (2014). Changes in
fruit and vegetable consumption if third-grade students in body quest: Food of the Warrior, a 17-class
childhood obesity prevention program. Journal of Nutrition Education and Behavior, 46 (4) 286-291.
doi: http://dx.doi.org/10.1016/j.jneb.2014.03.001
Wang, Y., & Lim, H. (2012). The global childhood obesity epidemic and the association between
socio-economic status and childhood obesity. International Review Of Psychiatry (Abingdon,
England), 24(3), 176-188. doi:10.3109/09540261.2012.688195

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