1. Physical Fitness Scores by Stanford Achievement Murray, 2007

2. Physical Activity Recommendations Adults 30 minutes of MVPA Children & adolescents 60 minutes of MVPA Physical Activities Guidelines for Americans 2008

3. Be a Physically Active Role-modeling affects children & adolescents Physical activity as a family – Helps to build bonds – Promotes team work Armies, Family Safety & Health, 2006; Pugliese & Tinsley, J Fam Psy, 2007

4. Practical Tips for Increasing Physical Activity Play – focus on FUN – Active toys & equipment – Age-appropriate – Ensure safety Replace 30 minutes of TV with PA Walk (school, park, store) www.cdc.gov

5. Practical Tips for Family PA Designate areas – indoors and outdoors Offer positive reinforcement Encourage interest in new activities Use PA as a reward (not food) SET THE EXAMPLE Source: www.cdc.govwww.cdc.gov

6. 4 th grade prevalence of obesity* by health service region in Texas, SPAN 2000-2002, 2004-2005 2000-2002 2004-2005 *Obesity is > 95th Percentile for BMI by Age/Sex

7. NO SINGLE INTERVENTION WILL REVERSE THE CURRENT TRENDS IN OBESITY & INTERVENTIONS MUST BE CULTURALLY APPROPRIATE

8. Coordinated Approach To Child Health (CATCH)

9. Does CATCH Work? Reduced total fat and saturated fat content of school lunches Increased moderate-to-vigorous physical activity (MVPA) during PE classes Improved students’ self-reported eating and physical activity behaviors Effects persisted over three years without continued intervention Luepker et al., 1996; Nader et al.,1999

11. Moderate-to-vigorous physical activity (MVPA), 2003-2005 HP 2010 Goal

13. En Vivo Lessons  Lesson 1: What’s Wrong with Screen-Time?  Lesson 2: Less Screen-Time, More Fun  Lesson 3: Planning Screen-Time  Lesson 4: Screen-Time and Snacking  Lesson 5: Live Life En Vivo  Lesson 6: Booster Session

14. Behavioral Journalism Mass media or specialized media might affect people’s knowledge, attitudes, & behaviors Some people in a group perform better than others (have reduced their health threat) People can learn by the observation of others (peer modeling) Stories of the role models fit with the target audience (they are understandable, realistic, & contain useful information) McAlister. 1995

15. Accelerating Diffusion Peer modeling = behavioral journalism Peer reinforcement = community networking

16. Behavior Change & Media

17. Comic Books – Time Twisters  Comic 1: Screen-Time definition and consequences  Comic 2: Benefits of reducing Screen-Time and Alternatives  Comic 3: Skills and Strategies to reduce Screen- Time  Comic 4: TV Commercials and Snacking

18. Motivation The probability that a person will enter into, continue, and comply with a change-directed behavior Motivation can be influenced