1. KEYS 4 HealthyKids KEY 2 a Healthy Start:
A quality improvement initiative
in early care and education to prevent childhood obesity
Jamie Jeffrey, MD, FAAP
Director, KEYS 4 HealthyKids
Medical Director, HealthyKids Wellness & Weight Management
Associate Professor Pediatrics-Charleston Area Medical Center

2. KEY 2 a Healthy Start Preventing Childhood Obesity Standards
Nutrition & Physical Activity Self-Assessment Child Care
Keys4healthykids.com

3. KEY 2 a Healthy Start
Keys4healthykids.com

4. Peer Learning Collaborative #1
KEY 2 a Healthy Start
Peer Learning Collaborative #1
Nutrition Standards
Leap of Taste Standards
Menu Planning
Gardening 101
Garden-based Learning
Goals & Action Plan
Keys4healthykids.com

5. Peer Learning Collaborative #2
KEY 2 a Healthy Start
Peer Learning Collaborative #2
Physical Activity (PA) Standards
PA Quantity and Quality
Music and Movement
Goals & Action Plan
Keys4healthykids.com

6. Peer Learning Collaborative #3
KEY 2 a Healthy Start
Peer Learning Collaborative #3
Role Modeling Healthy habits:
Staff, Parents & Choosy
Healthy Celebrations
Goals & Action Plans
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7. KEY 2 a Healthy Start RESULTS Chi-square and SAS 9.3
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8. Key Informant Interviews Results
KEY 2 a Healthy Start
Key Informant Interviews Results
23 key informant interviews, ranging from minutes, completed after oral consent
Informants were either a director, co-director, assistant director or owner with average of 16 years in position
Main accomplishments: 66% Nutrition, 16% Physical Activity, 14% Parental Involvement, 5% Garden
Goals: 78% met all goals, 17.4% were still working on 1-2 goals
Children’s reaction to the centers changes were 63% positive, 22% neutral and 15% negative
70% did make positive/ healthy lifestyle changes at home
70% centers plan on repeating self-assessment
Keys4healthykids.com

9. KEY 2 a Healthy Start Workshop Evaluation Results
Evaluations at the end of learning collaborative showed 97.73%-100% of participants were overall “very satisfied” with each workshop training
The final question from the key informant interview was:
“Overall, please rate your experience with KEY 2 a Healthy Start from 1-5 (5 the most positive/1 most negative)”
Each informant rated the intervention as ‘5’
These results are consistent with the positive responses from the key informant interviews.
100% of centers would recommend to another center; 26% already had
Workshop Evaluation Results
Keys4healthykids.com