the road to health

7/29/2019 The Road to Health

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The Road to HealthYouth Obesity Prevention and

Awareness Program for the

Henderson Family YMCA

Kyle FoxAdvisor: Jason Bocarro, Ph.D.Parks, Recreation and Tourism Masters Student


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North Carolina State University2007Table of Contents:

Purpose p. 3

Setting p. 4

Mission p. 5

Goals p. 6

Theory p. 7

Logic Model p. 9

The Garage: Physical Activity Sessions p. 10

Drivers Ed: Nutrition Education Sessions p. 18

Victory Lap: Periodical Newsletter for Families p. 33

Pit Stop: Healthy Snack Options p. 34

The Atlas: Further Recommendations for the YMCA p. 38

Road Test: Evaluation p. 41

Websites of Interest p. 42

Appendix p. 43

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Purpose:

Childhood obesity is a serious health problem. More children are

overweight today due to poor dietary habits and a lack of

physical activity. The purpose of The Road To Health is to

prevent childhood obesity as well as to educate the family on

proper nutrition and physical activity needs. The Road to Health

is a familys road map to a healthy lifestyle.

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Setting:

The Road to Health has been designed to be used at the

Henderson Family YMCA after school program as a community

based intervention program. This setting is ideal due to its

defined after school care program. The YMCA also includes

accessible facilities that are suited to the implementation of an

active program. These facilities include a full size indoor

basketball court, a childrens gym, sports fields, outdoor track,

playground, racquetball and squash courts, aerobics room, large

multipurpose room, fitness center, and an indoor swimming pool.

The YMCA also has a transportation program in place which is a

benefit to the program.

This setting is ideal for getting elementary aged children and

adolescents, who are not yet in high-school, physically active

during a time that could be spent in sedentary or risky behaviors

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due to decreased supervision during the hours in which a student

gets out of school and the parent gets off work.

Mission:

The Road to Health strives to promote healthy lifestyles of those

in the after school program through family involvement in

nutritious diets and physical activity to reduce the prevalence of

childhood obesity.

The mission of this program is inspired by the American Academy

of Pediatrics as follows:

1. Encourage families to promote healthy eating, nutritious

snacks, and self-regulation by including increased fruit,

vegetable and water consumption.

2. Encourage families to promote physical activity and

decrease the amount of time spent with television,

computers, and video games.

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Goals:

To implement a moderate to vigorous physical activity

sessions lasting 30 minutes every weekday at the

YMCA during the after school program.

To improve the snacks offered during the after school

program to include selections that fit a nutritional

standard set forth by the North Carolina Department of

Health.

To disperse a periodic newsletter targeted at parents

detailing updates on The Road to Health, give

shopping list suggestions, healthy recipes, examples

of activities for the whole family and other healthy

advice.

To encourage participants and families weekly to

remain cognizant of the program philosophy and track

personal progress towards healthier lifestyles with the

Signs of Success healthy living worksheets.

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To educate participants about proper physical activity

and nutrition through weekly classes and activities.

Theory:

The Road to Health is based on the Social Cognitive Theory that

suggests an individual and their environment are affected by one

another. Therefore, childhood obesity is thought to be influenced

and promoted by certain environmental factors. This program

seeks to change those factors to ensure the environment

promotes healthy lifestyles. The constructs are based on the

three components of the Social Cognitive Theory and are as

follows:

Personal

Improving Self-efficacy: to improve an individuals feelings

about their self and their abilities.

Improving Personal Knowledge: to increase the individuals

knowledge about proper nutrition and physical activity as

well as the risks of obesity.

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Behavioral

Improving Behaviors: to increase physical activity and

conscious, healthy dietary choices as well as decrease

sedentary habits.

Environmental

Improving Family Interactions: to increase the knowledge of

healthy lifestyles to the whole family and encourage more

family activity, encouragement and support.

This theory will be incorporated to ensure the program

appropriately promotes healthy lifestyles among all three levels

of influence on the participants. The program provides support

for participants to grow in their healthy lifestyle and encourages

the changes that are necessary for physical fitness and proper

nutrition.

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Logic Model

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Inputs

Counselors, participants, YMCA facilities,

Road to Health hand outs, proper scheduling,

activity materials, healthy snacks

Activities

Physical activity sessions, nutritional

education sessions, weekly newsletter,

healthy snack time, the Signs of Success

worksheet

Outputs

The number of children who attend the after

school program and adhere program

standards. The number of families that

participate in the program.

Outcomes

A positive change in participant attitudes

towards physical activity and health. More

daily physical activity, healthier diets, and

less sedentary lifestyles. Families who value

health.


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The Garage:Physical Activity Sessions

The Garage is a place where we work on tuning up our bodies.

All Garage sessions are designed to bring structure and promote

the message of a set time of physical activity. All activity

sessions should last about 45 minutes. This will include a 5

minute set-up time, a 5 minute stretching time, 30 minutes of

moderate to vigorous physical activity, and 5 minutes of cool-

down time.

The five structured physical activities are proposed to rotate to

ensure that every group participates in different activity each

day. The schedule has been developed to ensure that all groups

may participate in the sessions simultaneously in different areas

suited to the activity, without interfering with one another.

GARAGE Monday Tuesday Wednesday Thursday Friday

Kindergarten Yoga Sports Sprints Tag Dance

1st Grade Dance Yoga Sports Sprints Tag

2nd - 3rd Tag Dance Yoga Sports Sprints

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4th - 5th Sprints Tag Dance Yoga Sports

6th and Up Sports Sprints Tag Dance Yoga

Activity :Yoga / AerobicsLocation: Aerobics Room

Description :Participants should gather in the aerobics room.After the counselor distributes yoga mats or aerobics gear to all

participants, the yoga/aerobics instructor will take control of the

class. Follow the yoga/aerobics instructors suggestions.

Precautions: Yoga/Aerobics should be led by a YMCAYoga/Aerobics instructor and geared towards low-impact, child

appropriate exercises.

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Activity: Sports

Location: Field or Big GymDescription: The sports session should include new variationsof sports that the participants are familiar with, or new sports, in

order to generate interest.

New Sport Suggestions: Rugby

Field Hockey

Lacrosse

Ultimate Frisbee

Variation Suggestions:

Ultimate Baseball: Using a plastic baseball set, split theentire group into two large teams. The pitching team

chooses a pitcher and the batting team chooses a batter.

After the ball is hit, the batter must run laps around their

entire team (which are encouraged to group together), and

the pitching team must catch or go after the ball (catching

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it does not equal an out) and form a straight line. When the

pitching team has passed the ball from the front of the line

to the back of the line, alternating overhead and under leg

passes; the runner must stop. The number of laps around

the batters team the batter completes before this happens

is the score. Alternate turns.

Un-Basketball: This version of basketball replaces

dribbling and shooting to ensure that everyone has a good

time. This fast paced game is about passing the basketball

to your teammates and hitting the backboard to score a

point. The trick is that everyone on the team has run ten

paces with the ball before the ball can be shot, passing is

essential to being able to shoot. The ball may be stolen by

an opponent only while in the air.

Crab Soccer: For this version of soccer with no goalie, all

participants must crawl like a crab or spider. The regular

game of soccer will then be played. Dont worry about hand-

balls, they are okay in this version, just ensure no one picks

up the ball. There are lots of other ways to walk play this

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game using other fun walking styles.

Nuclear Volleyball: On a standard volleyball court use a

beach ball instead of a volleyball. The game is played

similar to volleyball, however the ball must be passed five

times before it can cross the net. The object of this game is

to never let the beach ball touch the ground and promote

teamwork.

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Activity: Sprints

Location: Little GymDescription: The sprints session includes different relay racesand sprinting games. Counselors should feel free to incorporate

familiar races and sprinting games in this session.

Gam e suggestions: Multiple team based relay races using different methods of

running, crawling, etc.

North, South, Central: This sprint game labels one end of

the gym north, the opposite end south, and the middle

central. Participants must race according to the location

that is yelled out by a moderator.

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Activity: Tag

Location: Field, Playground, or Racquetball Court

Description: The tag sessions include various familiar andnew tag games intended to encourage vigorous physical activity.

Suggestions: Freeze Tag

Blob Tag: Two individuals are it, when someone is

captured, they must lock arms and begin to form a blob

that must be avoided by other participants.

Pac-Man Tag: This game works best when implemented in

an area with lots of lines on the floor, such as the gym. Four

people are chosen to be ghosts who will then chase and tag

the other players while all participants must stay on the

lines. Once tagged the participant becomes a road block

and must remain in place for the duration of the game.

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Activity: Dance

Location: Multi-purpose Room

Description: A variety of dances should be introduced. Simplechoreography for family nights is suggested as an easy dance

that any counselor can come up with and practice weekly.

Alternatively, dance games such as freeze dance may be

implemented. Ensure that participants are moderately active for

at least 30 full minutes.

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Drivers Ed:Nutrition Education Sessions

Nutritional education sessions should take place weekly for each

group. Each session should last for approximately 30 minutes

and contain as much interaction and activity as possible. The

curriculum for the nutrition sessions is designed to increase

participant knowledge of proper nutrition, the dangers of obesity

and positive choices. In addition to educating participants of

nutrition, during these sessions an introduction to the SIGNS OF

SUCCESS worksheet should be provided. It is recommended that

these sessions take place in the multi-purpose room. A

suggested schedule is provided:

Drivers Ed Monday Tuesday Wednesday Thursday Friday

Group Kindergarten 1st 2nd - 3rd 4th - 5th 6th and Up

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Session 1: Signs of Success IntroductionUse this session to introduce each group to the Signs of Success

worksheet. Go through the instructions with each participant and

describe why each component is important as listed within the

worksheet. Go into detail to help each participant understand the

why it is important to drink water instead of sweetened

beverages, eat at least 5 servings of fruits and vegetables, get at

least 30 minutes of physical activity, and limit television time to

less than 2 hours a day.

Session Activity: Group GoalsSupplies: Copies of the Signs of Success worksheet (seeappendix), crayons and markers

Directions: Have each participant fill out a sample worksheet.Have each participant set goals as to how many points they will

get each week. Next have the entire group set a goal for how

many points they will get for the month. Counselors should track

the progress of the group towards their goal.

Session 2: Nutrition Introduction19


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The nutrition introduction section should contain a brief

introduction to healthy nutrition. Counselors should describe the

USDAs My Pyramid and pass copies out to each participant.

Encourage discussion about why certain foods are healthy, and

why certain foods are unhealthy. Have participants set goals and

discuss the My Pyramid Close Look Sheet (see appendix).

Session Activity: USDA My Pyramid WorksheetSupplies: Copies of the USDA My Pyramid Worksheet (seeappendix), Blank Paper, Crayons and Markers

Directions: Have participants use the USDA My Pyramid todesign a healthy meal. For the younger groups, have participants

draw a healthy dinner and then discuss the picture with the

entire group. For the older groups, have participants detail a

menu for a whole day and explain how they used the portions of

the USDA My Pyramid in their meals.

Session 3: Fruits and VegetablesIntroduce the participants to fruits and vegetables and explain

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the benefits which include fighting disease, controlling weight,

and helping their bodies function. Provide each participant with a

copy of the 5 A Day the Color Way handout (see appendix).

Brainstorm ways to include more fruit and vegetables into their

daily routine, such as slicing bananas on cereal, eating raisins in

oatmeal, or drinking a serving of 100% fruit juice. Have

participants set goals based on their new knowledge.

Session Activity: Fruit Salad ChefsSupplies: Pre-washed and cut apples, bananas and grapes (orany combination of fruit), a large mixing bowl, serving bowls

Directions: Have each participant engage in creating a fruitsalad. Teach each group how to make one at home with their

families. After preparation, serve the fruit salad that the

participants have made and enjoy.

Session 4: Serving SizeExplain to participants what a serving size is and why it is

important to pay attention to serving sizes. Explain moderation

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and the dangers of over consumption. Counselors should

describe the different measurements used in serving sizes. Pass

out a serving size visual cue sheet for the participant to take

with them (see appendix).

Session Activity: Measurement MattersMaterials: Measuring cups, dry cereal, pretzels, and 100% fruitjuice

Directions: Demonstrate various serving sizes of cereal,pretzels and juice. Reiterate the importance of following serving

size suggestions to avoid over consumption. Allow participants

to take turns pouring single servings to allow them to learn what

a single serving of each food looks like.

Session 5: Food LabelsParticipants should be introduced to food labels and taught how

to understand their contents. Counselors should describe the

importance of fat, calories, sugar, fiber, vitamin content, calcium,

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etc. Guidelines should be explained, as foods should contain less

than 10% saturated fat, less than 30% total calories from fat, at

least 2 grams of fiber for carbohydrates, less than 480 mg sodium

per serving, etc. Participants should be taught what a serving

size is and where it is located on the food label.

Session Activity: Label SleuthsMaterials: A variety of popular healthy and unhealthy foodpackages

Directions: Have participants study the food labels anddetermine several factors about the food. Is the food healthy?

What serving size is appropriate? How much fat is in one serving?

How much calcium? How much fiber? Etc.

Session 6: Drive Thru How To

This session should include a discussion of the restaurants

frequented by the participants and what nutritional information

should be considered when dining out. Discuss the dangers of

convenient foods and what options are available when there is no

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avoiding fast food. Have participants set rules for ordering when

dining out.

Session Activity: Plan BMaterials: Copies of nutritional information from McDonalds(see appendix), blank paper, crayons and markers

Directions: Pass out copies of McDonalds menu withnutritional information and discuss what the participants usually

order. Have participants create and write down a Plan B healthier

alternatives based on the nutritional information provided.

Session 7: Guest SpeakerFor this session invite a nutritionist from Mariah Parham

Hospital, the North Carolina State Extension Agent in Henderson,

or one of the specialist who work for the YMCA. Have the special

speaker initiate a question and answer session appropriate for

each group. The speaker will reinforce the goals of the program

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and ensure the participants that this is a universal concept.

Session Activity: Q&A for Bonus PointsMaterials: Q&A prompt sheet for speaker (see appendix)Directions: After a short special speaker session have theparticipants ask questions of the speaker. Anyone who asks

appropriate nutrition questions receives bonus points.

Session 8: Health QuizDuring this session participants should be divided into teams to

test their knowledge of what they have learned thus far in the

program.

Session Activity: Health Quiz

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Materials: Predetermined questions (see appendix)Directions: Have each team sit together on either side of theroom. The counselor will then read the questions to alternating

groups. At the end of the game tally all points to determine the

winning team.

Session 9: AdvertisingThis session will teach participants about child targeted food

advertising. Products such as fast food, cereal, cookies, candy,

chips, soft drinks and more are targeted at children daily. Point

out to participants the different methods used to gain their

attention. Ask what the product seems to promise (makes you

stronger, is fun, tastes great). During this session it is important

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to stress moderation, serving size, and healthy alternatives.

Reiterate that all foods do not have to be banned, but moderation

is the key to a healthy lifestyle.

Session Activity: Advertising ExecutivesMaterials: Any fruit, blank paper, crayons and markersDirections: Have participants break up into small groups tocreate an advertisement for a fruit. Groups may choose to draw a

magazine ad on paper, or act out a commercial that would make

the other group want to eat the fruit. At the end of the session

have all groups present their ideas.

Session 10: CaloriesIn this session, participants should talk about what foods have

too many calories in them. Suggestions to teach participants to

visualize calories are to discuss 100 calories. 100 calories are in

a handful of peanuts, half a doughnut, 8 ounces of soda, and a

small serving of fries. 100 calories are burned by climbing stairs

for 11 minutes, riding a bike for 13 minutes, or walking for 22

minutes. Have participants discuss the importance of calories as

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energy, and the dangers of consuming too many calories.

Session Activity: Calorie CuttersMaterials: Blank paper, crayons and markersDirections: Have the group brainstorm and write down or drawa list of ways to cut calories. Examples include: using skim milk,

drink unsweetened drinks and water, eat smaller servings of

sweets such as ice cream or cakes, use reduced calorie

products, etc.

Session 11: Breakfast, Food For ThoughtCounselors should discuss with participants why breakfast is

important. This topic includes why it is important not to skip

meals. Counselors should teach participants that carbohydrates

turn into sugar (glucose) which is delivered as energy through

the blood to the body and brain. Since the brain cannot store

glucose, it is important to eat breakfast, lunch and dinner; no

skipping. It should be reiterated that breakfast helps us pay

attention throughout the day.

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Session Activity: My Breakfast MenuMaterials: Blank paper, crayons and markersDirections: Have participants detail a healthy breakfasts.Draw and explain how breakfast is balanced and healthy, older

groups should be encouraged to detail a week-long menu that

they will follow as a guide for the upcoming week. Ensure that

nutrition and healthy choices are at the center of this activity.

Session 12: Daily DairyThis session details the importance of consuming at least three

servings of dairy each day. Describe the importance of calcium in

building strong teeth and bones. Include a discussion of alternat

non-dairy sources of calcium. One serving of dairy can be one of

the following: 1 cup of milk, 1 cup of yogurt, 1.5 ounces of natural

cheese or 2 ounces of processed cheese. Have a discussion and

goal setting opportunity on ways to consume more dairy daily.

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Session Activity: Cow CreationsMaterials: Packets of sugar-free instant chocolate pudding, fatfree skim milk, large mixing bowl, mixing spoons, serving bowls,

spoons

Directions: Allow participants to make and serve their own fatfree calcium rich snack. Follow the basic instant pudding

directions and encourage participants to repeat the process with

their family. Reiterate the importance of using sugar-free pudding

and skim milk instead of more unhealthy options.

Continuing Sessions:More sessions may be added from the wealth of knowledge and

recommendations online and from other programs. However,

these 12 sessions covered the basics of healthy nutritional

guidelines. It is recommended that sessions are continued and

include weekly cooking classes. These classes should include

simple, memorable suggestions for healthy snacks that the

participants can make on their own at home and with their

families. A take home recipe should be given to each participant

to ensure families are able to reproduce the activity at home.

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Suggestions for follow-up cooking classes:Ants-on-a-Log For this simple and healthy snack mix raisins into

low fat peanut butter. Spread the mixture onto celery sticks and

enjoy.

Trail Fuel Combine an equal mixture of mini pretzels, popcorn,

shredded mini wheat cereal, peanuts and raisins in a large bowl.

Separate into small sealed bags and serve.

Frozen Fruit Treat Mix 1 can of no sugar added fruit into 1 cup

of fat free frozen yogurt. Freeze for 2 hours and enjoy.

Mud and Dirt Mix together 1 ounce of low-fat chocolate graham

crackers and cup of fat free chocolate pudding. Add gummy

worms for an additional fun effect.

Wacky Mouths Have an adult slice a red apple into quarters.

Spread low fat peanut butter over one side of each quarter and

place miniature marshmallows into the peanut butter in a row of

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teeth. Smile and eat. Each apple makes two mouths.

The Victory Lap:Periodical Newsletter for Parents

The goal behind the newsletter is to encourage parent

participation and inform families about program updates and

changes. Since the majority of this program is built upon family

inclusion this aspect is key to ensure encouragement of the

concepts learned at the YMCA. The newsletter should be a one

page simple document that is updated weekly. All information

within the newsletter should be fundamental and focused on

concrete suggestions. A newsletter should include program

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updates, menu suggestions, healthy nutrition and physical

activity tips and the encouragement of programmatic values.

This document is meant to be a conversation starter, intended to

get parents interested in learning more about the health and

wellness of their child.

An example of the newsletter can be found in the appendix.

Pit Stop:Healthy Snack Options

The PIT STOP snack program is modeled after the North Carolina

State Health Departments Winners Circle. This list of healthy

snacks is consistent with nutritional recommendations of the

American Heart Association, American Cancer Society, USDA

and the American Diabetes Association. Snacks may include any

fruits and vegetables, or a snack item. Water should be provided

as a beverage with all snacks.

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Snacks are recommended to contain:

120 mg of calcium per 4 oz serving OR



A maximum of 35% sugar by weight

Each item should also include:

A maximum of 30% calories from fat

A maximum of 480 mg sodium

Snacks that meet the approved criteria include the following:

Snack Serving Size

Advantage Edge Bar 57 gAustin Zoo Animal Crackers 30 g

Baked Lays BBQ 1 oz

Baked Lays Original 1 oz

Baked Lays Sour Cream & Onion 1 oz

Baked Doritos 1 oz

Barnums Animal Crackers 30 g

Big Top Animal Crackers 1 oz

Chex Mix 30 g

Clff Bar 68 gColumbo Yogurt Cherry 8 oz

Light Fat Free Cookie Monster Cookies 30 g

Dannon Yogurt 6 oz

DelMonte Canned Fruit 124 g

DelMonte Lite Diced Peaches 4 oz

DelMonte Lite Mixed Fruit 4 oz

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Dole Fruit Bowl 113 g

Famous Amos Gingersnaps 24 g

Fig Newtons 57 g

General Mills Cheerios 1 oz

Guiltless Gourmet Corn Chips 1 ozKashi TLC Crackers 30 g

Keebler Chocolate Graham Crackers 31 g

Keebler Fat Free Zesta 16 g

Keebler Honey Graham Crackers 31 g

Keebler Iced Animal Cookies 32 g

Keebler Original Graham Crackers 29 g

Keebler Reduced Fat Wheatables 31 g

Kelloggs All-Bran Cereal 1.1 oz

Kelloggs Corn Flakes 21 gKelloggs Low Fat Granola 49 g

Kelloggs Mini Shredded Wheat, Frosted 51 g

Kelloggs Puffed Wheat 11 g

Kelloggs Raisin Bran 2.1 oz

Kelloggs Rice Krispy Cereal 33 g

Kelloggs Special K 21 g

Lance Saltine Crackers 11 g

Luna Bars (except orange & lime) 48 g

Nabisco Original Saltine Crackers 18 gNabisco Teddy Graham Cookies, Cinnamon 30 g

Nature Valley Granola Bars 42 g

Nature Valley Trail Mix Bars 35 g

Newmans Own Pretzel Sticks 30 g

Nutri-Grain Bars 37 g

Orville Redenbacher Smart Pop 38 g

Pepperidge Farm Pretzel Goldfish 30 g

Pop Secret 94% Fat Free Popcorn 39 g

Pop Tarts, Chocolate Chip 52 gPop Tarts, Cinnamon 52 g

Pop Tarts, Fruit 52 g

Power Bar, Chocolate 65 g

Power Bar, Harvest 65 g

Power Bar, Peanut Butter 65 g

Pretzels, Generic 30 g

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Pretzel Sticks, Generic 30 g

Pringles, Fat Free 1 oz

Protein Plus 85 g

Quaker Chewy Bars 56 g

Quaker Crispums 33 gQuaker Oatmeal Express 54 g

Raisins 43 g

Rice Krispies Treats 37 g

Rold Gold Classic Tiny Twists Pretzels 1 oz

Ruffles Wow! Potato Chips 1 oz

Snackin Grahms 42 g

Snyders Mini Pretzels 30 g

Stonyfield Farms Low Fat Yogurt 6 oz

Sunsweet Prunes 40 gTeddy Graham Cinnamon Crackers 30 g

Texas Cinnamon Sweet Roll, Freshley 113 g

Thomas English Muffin, Original 57 g

Tickles Snack Mix 26 g

Tostitos Baked Tortilla Chips 28 g

Utz Pretzels 28 g

Welchs 100% Grape Juice 10 oz

Welchs 100% Grapefruit Juice 10 oz

Yoplait Yogurt 6 oz

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The Atlas:Further Recommendations for the YMCA

Establish a simple weekly newsletter with concrete

suggestions, program updates, and educational material.

Offer new fitness and nutritional classes for families.

Include programs targeted towards parents and provide

childcare, meal and transportation to ensure that these do

not deter involvement.

Host a wellness event during a weekend that is targeted

towards involving the whole family.

Seek feedback through evaluations and open

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communication to ensure that parents are happy with the

program or if they have any recommendations that they

would like to see implemented.

Further Nutritional Considerations Strive to offer health conscious snacks and beverages

during programs, including fruits and vegetables, as well as

increased water consumption.

Remove the vending machines from the areas frequently

used by the children to an area near the front of the YMCA.

Alternatively, contact the contracted vending companies to

offer only healthy options such as water, 100% fruit juice,

and athletic beverages in the vending machines.

Miscellaneous Decrease indoor play time and have children exercise

outdoors when appropriately transferable.

Move homework sessions to the end of the day, as activity

levels should be high at the beginning of the program and

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taper off towards the end to ensure better concentration.

Develop relationships with other child centered

programming agencies. The formation of a health coalition

will be a useful resource to promoting health across Vance

County.

Increase outreach programs and scholarships available to

ensure that lower socioeconomic classes and minorities

are represented within the YMCAs population.

Seek trainer-to-trainer education with certified nutritionist

and dieticians to ensure staff knowledge of nutritional

education.

Hire instructors for child fitness classes such as child

friendly yoga, aerobics, weight lifting, dance, and other

activities currently only available to adolescents and

adults.

Reduce television time within the program during rest time

or inclimate weather.

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The Road Test:Evaluation

Evaluation is key to determining if the program is causing the

appropriate outcomes. A simple questionnaire (located in the

appendix) will be used to gauge parental satisfaction and

knowledge of the program. A constant feedback loop should be

maintained by participants, staff, parents, and all involved in the

program to ensure that satisfactory services are being offered at

all times. The importance of maintaining flexibility and

willingness to change due to feedback is vital to the success of

any program.

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The program will allow the participant to evaluate their own

progress, as this program is not a diet, contest or weight loss

program, it is meant to be educational and increase awareness of

the issues of childhood obesity and its prevention. Participants

will use the Signs of Success worksheet to monitor and evaluate

their progress with adhering to the programs teachings. This

method is voluntary, but will be encouraged and modeled within

the program.

Websites of Interest

www.kidnetic.com

www.mypyramid.gov

www.nc5aday.com

www.eatsmartmovemorenc.com

www.fruitsandveggiesmorematters.org

www.aap.org

www.eatright.org

www.cancer.org

www.ascm.org

www.aahperd.org/naspe/

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www.americanheart.org

www.hhs.gov

www.cdc.gov

www.aafp.org

www.ama-assn.org

www.ahrq.gov/clinic/uspstfix.htm

www.foodfit.com

www.diabetes.org

Appendix

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the road to health

Documents