program coordinator supply list

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PROGRAM COORDINATOR SUPPLY LIST ALL Supplies/ Equipment Needed for Each Module Recruitment Flyers Brochures Letter from Clinic and School Flyers Phone Scripts Session 0: Information Meeting Informed Consent Forms -1 per family Family Intake Form - 1 per family or on computer Digital Platform Scale -2 Height Stadiometer -2 PowerPoint handout for family (Intro) - 1 per family Download Power Point for education delivery Fidelity Checklist Session 1: Orientation Binder - 1 per family, Contents include: pencil bag, name tags, weigh-in sheets, program goals, habit book example, Traffic Light Eating Plan Sheets Habit Books (1 per person) Physical Activity Monitors - 1 per participating child PowerPoint handout for family (Orientation) - 1 per family Download PowerPoint for education delivery Recipe of the Week - 1 per family Fidelity Checklist Download PowerPoint for education delivery Traffic Light Eating Plan TILES - 1 per family binder* Download PowerPoint for education delivery BHF Habit Book Example Short Pool Noodles -15 Omni Balls (Small) 4-6* Hula Hoops - As many as possible Bean Bags- 3-5 per family Foam Balls- 15-20 Disc Cones- 15 * denotes in the Building Healthy Families Kit Laminated Index Cards spelling "Let's Join" - 3 sets* Cup* Popsicle Sticks* Popsicle Stick Fitness Key* Family take home items Physical Activity Lifestyle Modification Nutrition Education Program Overview BHF Session

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Page 1: Program Coordinator Supply List

PROGRAM COORDINATOR SUPPLY LISTALL Supplies/ Equipment Needed for Each Module

Recruitment • Flyers• Brochures• Letter from Clinic and

School• Flyers• Phone Scripts

Session 0: Information Meeting

• Informed Consent Forms-1 per family

• Family Intake Form - 1 perfamily or on computer

• Digital Platform Scale -2• Height Stadiometer -2• PowerPoint handout for

family (Intro) - 1 per family• Download Power Point for

education delivery• Fidelity Checklist

Session 1: Orientation

• Binder - 1 per family,Contents include: pencilbag, name tags, weigh-insheets, program goals,habit book example,Traffic Light Eating PlanSheets

• Habit Books (1 per person)• Physical Activity Monitors

- 1 per participating child• PowerPoint handout for

family (Orientation) - 1 perfamily

• Download PowerPoint foreducation delivery

• Recipe of the Week - 1 perfamily

• Fidelity Checklist

• Download PowerPoint foreducation delivery

• Traffic Light Eating PlanTILES - 1 per family binder*

• Download PowerPoint foreducation delivery

• BHF Habit Book Example

• Short Pool Noodles -15• Omni Balls (Small) 4-6*• Hula Hoops - As many as

possible• Bean Bags- 3-5 per family• Foam Balls- 15-20• Disc Cones- 15

* denotes in the Building Healthy Families Kit

• Laminated Index Cardsspelling "Let's Join" - 3sets*

• Cup*• Popsicle Sticks*• Popsicle Stick Fitness

Key*

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

Page 2: Program Coordinator Supply List

Session 2: Review

• BHF Habit Book - 1 per person• PowerPoint handout for family (Review) - 1 per family• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Name that Color Game - 1 per child

• Download PowerPoint for education delivery

• Download PowerPoint for education delivery

• Prizes for Review Game• Foam Balls various sizes -15-20 • Pinnies -4 different colors, 5-10 each color

Session 3: Energy Balance

• BHF Habit Book - 1 per person• PowerPoint handout for family (Energy Balance) - 1 per family • Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Count the Reds Game - 1 per child• Handout: Walk Around the Neighborhood - 1 per family • Activity:1/3 freeze dried apples, 1/3 beef jerky, 1/3 trail mix

• Gallon Jugs of Water -4 • Canned Food Vegetables - 8• Station Signs -10• Pinnies - 3 different colors, 5 each color• Floor mats -4• Cones -4• Large Omnikin Ball*

* denotes in the Building Healthy Families Kit

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

• Identifying Barriers handout - 1 per family• Barriers & Strategies Worksheet - 1 per family• Example and 'practice' worksheet - 1 per family

• Life/Cinnamon Life Cereal- 1 per family• Measuring cups- 1 set per family• Measuring spoons- 1 set per family• Snack sized bags- 1 box per family• Box of 100 Calorie Snack Packs- 1 per family

Session 4: Portions & Labels

• BHF Habit Book - 1 per person• Recipe of the Week - 1 per family• Fidelity Checklist

• Food labels for various foods - at least 10• Live Well Handout - 1 per family• Large Plastic Cereal Bowl- 10*• Rubber bands*• Plates (large and small)*

• Foam Balls -15 - 20• Poly Spots -14• Bowling Pins - 14• Frisbees - as many as there are children• Cones - 6• Popsicle Sticks* • Popsicle Stick Fitness • Key*• Cup -1*

• Eating Healthy When Eating Out - 1 per family• Barriers and Strategies Form 1 - per family

Session 5: Dining Out

• BHF Habit Book - 1 per person• Recipe of the Week - 1 per family• Fidelity Checklist

• Local fast food menus or plan to use phones• Dining Out Worksheet - 1 per family

• Yoga/Tumbling Mats - 2• Pinnies -12 (6 of one color and 6 of another)• Hula Hoops -24- previous item• Baskets/Buckets -4• Cones - 1 blue, 1 red, 1 yellow, 1 green• Foam Balls - 16• Deck of UNO or Playing Cards -1

Page 3: Program Coordinator Supply List

Session 6: Snacking

• BHF Habit Book - 1 per person• Recipe of the Week - 1 per family• Fidelity Checklist

• Green and Yellow Snacking Tips - 1 per family• Snacking Showdown Worksheet - 1 per child• Snacking Scenarios Handout - 2 per family

Food Labels for the following snack items:

• Saltine Crackers, Air Popped Popcorn (Smart Food 40 ct)• Fruit Snacks (Welch's 40 ct.)• Canned Fruit in natural juice (Peaches)• Nonfat yogurt• 2% string cheese (24 ct.)• Beef Jerky (beef steak 6 ct.)• Peanut Butter Crackers (27 ct.)• Water, Skim Milk (1 quart)• Cinnamon Chex, Cinnamon Toast Crunch• Turkey and Cheddar Lunchable• 1/2 Turkey Sandwich on whole grain bread• Regular lemonade (6 ct. cans)• Iced Tea (6 ct).• Animal Crackers (12 ct.)• Chex mix (single serve 10 ct. cups)• Unsweetened Applesauce• 100% Apple Juice (64 fl. Oz)

• Barriers & Strategies Worksheet - 1 per family

• Poly Spots - 25• Bean Bags - 25• Short pool noodles - 15- previous item• Soccer ball - 6 - 8 • Hula Hoops -6- previous item• Floor Tape - 1 roll

* denotes in the Building Healthy Families Kit

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

Page 4: Program Coordinator Supply List

Session 7: Fruits & Veggies

• BHF Habit Books - 2 per person• PowerPoint handout for family (Tips on Picky Eater)• Download PowerPoint for education delivery• Snack sized baggies• Large paper plates, forks, napkins• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Fruit and Vegetable serving size tips handout - 1 per family• P.A.C.K. handout - 1 per family• Fruit and Vegetable Test Your Taste worksheet - 1 per person

Fruits and Vegetables for taste test:

• Granny Smith Apples & Gala Apples • Blackberries• Kiwi • BARE freeze dried bananas• Grape Tomatoes, Cucumber, Bolthouse dressing (yogurt based dressing)• Broccoli Slaw• Sugar Snap Peas, Ranch flavored cauliflower steamed bags

• Download PowerPoint for education delivery

• Jar of Unsweetened Applesauce- 1 jar per family• Container of Cinnamon- 1 per family• Bare Freeze Dried Fruit (Apples, Pears, etc.)- 1 package per family

Session 8: Grocery Store Tour

• Physical Activity Scavenger Hunt - 1 per family• Fidelity Checklist

• Contact Grocery Store-PLAN

• Short Pool Noodles - 4- previous item• Spike Ball Sets/Round Net Sets 6-8• Large Omnikin Ball*

* denotes in the Building Healthy Families Kit

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

Session 9: Modifying Recipes

• BHF Habit Book - 1 per person• PowerPoint handout for family (Modifying Recipes)• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Modified Recipes Handout - 1 per family• Cooking Methods Handout - 1 per family

• Download PowerPoint for education delivery

• Flyswatters 2 - 4 per family• Balloons: Blown Up - 10• Cones - 20• Floor Tape - 1 roll

• Mrs. Dash's Spice- 1 per family

Page 5: Program Coordinator Supply List

Session 10: Whole Grains

• BHF Habit Book - 1 per person• PowerPoint handout for family (Whole Grains and Motivation)• Download PowerPoint for education delivery• Kitchen Makeover Handout - 1 per family• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Whole Grain Fact Sheet - 1 per family• Multiple whole grain labeled foods (4 with the first ingredient whole grain, 3 without)• Download PowerPoint for education delivery• Piece of white bread -1, piece of whole wheat bread -1• Shallow bowls for water & bread: Pyrex rectangular 3 cup; n=2• Fruit Loops - 1 box, Whole Grain Cheerios - 1 box• Water for bread demo• Small Plastic Ramekin - 1 per person

• Download PowerPoint for education delivery

• Microwave Popcorn 100 calorie bags- 1 box per family

• Hula Hoops - 36- previous item• Bowling Pin -1- previous item • Foam Balls 2-3- previous item • Bean Bag - 1 per family- previous item

* denotes in the Building Healthy Families Kit

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

Session 11: Healthy Kitchen

• BHF Habit Book - 1 per person• Download PowerPoint for education delivery (Spot the Difference: Kitchen)• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist

• Download PowerPoint for education delivery• Spot the Difference: Kitchen Worksheet - 1 per family• Kitchen Makeover Handout

• Download PowerPoint for education delivery

• Hula Hoop 8- 10- previous item• Cones - 7- previous item • 3 and 5 lb medicine balls• Resistance bands - 3 -5 various colors• 1-2 chairs/box jump platforms• Aerobic Steps - 5 - 6 low steps/boxes

• Clear Refrigerator Organizers- 1 set per family

Session 12: Dairy and Beverages

• Parfait Supplies• Re-Think Your Drink worksheet - 1 per family• Pre-made sugar bags*• Recipe of the Week - 1 per family• Fidelity Checklist

• Parfait Supplies:• Vanilla low-fat greek yogurt - 1 cup per person• Berries (Cut strawberries, raspberries, and blue- berries, 1/4 cup per person• Low-fat granola - 2 TBS per person• Plastic Spoons & Napkins• 10 oz clear plastic cups - 1 per person• Re-Think Your Drink worksheet - 1 per child

• Laminated Index Cards spelling 'Physical Activity is Fun'- 2*• Popsicle Sticks*• Cup - 1*• Cones - 8- previous item • Pinnies - 15- previous item

• Crystal Light Packets- 1 box per family

Page 6: Program Coordinator Supply List

Session 13: (Relapse) Rewards

• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist

• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist

* denotes in the Building Healthy Families Kit

Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session

Session 14: (Relapse) Triggers

• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist

Session 15: (Relapse) Stimulus Control

• Copy of Name that Color Game - 1 per child• Digital Platform Scale -2 • Height Stadiometer -2• Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist

• Cones- 1- previous item• Short Pool Noodles- 2- previous item

Session 16: 24-week assessment

• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist

Session 17: (Relapse) Lapses

• Digital Platform Scale -2 • Height Stadiometer -2• Fidelity Checklist

Session 18: 52-week assessment