Physical Activity Panel ASNNA Conference Christi Kay President HealthMPowers HMPU was developed and improved with funding from BCBS and is now a part of our comprehensive SNAP-ED program with schools and out of school time In the tool kit

School-based programs to increase physical activity CDC recently released their hi 5 Hi 5 Improve health of the community Demonstrate positive health impact in 5 years or less and are cost effective and provide savings over time. The purpose of these school-based programs is to increase students’ physical activity levels, and thereby help improve student fitness and weight status A 2015 benefit-cost analysis by the Washington State Institute for Public Policy (WSIPP) on school-based programs to increase physical activity found that they were associated with a positive benefit to cost ratio.[16] The WSIPP analysis estimated that elementary or middle school programs that added additional physical activity to the school day for students could result in a benefits to cost ratio of approximately $33:1 (in 2015 dollars) over time.[17] These benefits were calculated from decreased health care costs due to reductions in obesity and increased labor market earnings due to the positive impact of physical activity on academic achievement. 14 evidence based community interventions School-based programs to increase physical activity

FY15 EARS Number of States who report PA as a focus (Question 6 Primary Content of Direct Education) – 17% Number of States who report working with schools  - 50 Number of States who report working with child care centers/Head Start programs – 47 Based on FY15 EARS data SNAP-Ed has a real opportunity to impact the health of our SNAP-Ed population

Our Mission: To empower healthy habits and transform environments where children live, learn and play. Nonprofit 16 years 10 years in SNAP-Ed Founding Sponsors HMP has been doing work in PA since it was fouunded in 200o Our mission Founding sponosrs

How We are Organized for SNAP-Ed HealthMPowers SNAP-Ed Child Care Schools K-12 Homes Out of School Time Communities Retail and Social Marketing Nutrition and PA direct education, PSE change and promotion are a part of every sector 71 child cares 112 ES – 46 MS 12 OST 3 Communities

Unique Characteristics Whole school/center/community approach 3 year commitment Team Development Needs Assessment Action Plan Evidence All staff engaged Team 3-5 – principal determines

ST6: Readiness Schools Out of School Time Providers Early Care 100% of schools and centers completed a needs assessment that target HE and PA With SHI we do all 8 modules but only PA and nut Early Care

Planning: Example SHI Timeframe/Target Audience/Action Item/Evidence By the end of the 2014-2015 school year, all students at ____________ Elementary will be provided at least 20 minutes of recess during each school day with teachers or recess monitors encouraging students to be active as evidenced by the Master schedule and faculty meeting agenda highlighting strategies teachers can use to encourage students to be active at recess. 100% completed an action plan and began implementation

Elementary School PSE Changes -Reporting MT6 Policy Changes – 33 PA breaks in the classroom (3 schools) 50% MVPA time in PE (1 school) Not withholding recess or PE as punishment (22 schools) PE time – 150 mins./wk (3 schools) Recess provided (4 schools) Systems Changes - 22 Access to school PA facilities after hours (2 schools) Before, during, after school PA for students (14 schools) Staff role modeling (4 schools) Individualized student fitness plans(1 school) PA professional development (1 school) 97% provided evidence of a nutrition or PA support that was adopted. Examples above

MT3:Pre/Post PA Behavior In addition to PA work we also look at self report behaviors, Here are our PA questions for FY 16 which have been revised for FY 17 to be in line with the IG, but we wnted to know if opportunities in school were increasin 92% FRL

MT3: Progress Toward Guidelines Important is maintenance at the healthy level Overall, 73% of students reported improved physical activity behavior

Percent Students in Healthy Fitness Zone – Aerobic Capacity 92% FRL – 50% 60% - 57% n=8254 Percent

__ page report for each

Other Outcomes State Collaboration – Georgia Shape (DOE,DPH,DFACS,DECAL) Adopted Health Empowers You! Trained 881 schools reaching 467,626 students Outcomes - Program Expansion Middle School Pilot Out of School Time College/University

Consistent messaging beyond schools