Improving Physical Activity Opportunities in Elementary School - PowerPoint PPT Presentation

Improving Physical Activity Opportunities in Elementary School Settings: Results of Power Up for 30, A Statewide Elementary School Physical Activity Initiative in Georgia Chair: Emily Anne Vall, PhD, Georgia Department of Public Health Panelists: Christi Kay, MEd HealthMPowers, Inc. Patricia Cheung, MPH Emory University Erica Hamilton, Emory University

Few children meet physical activity recommendations 60 minutes of 25% met MVPA per day 1 guidelines 2 Disparities gender, age, race/ethnicity, 19% no activity 2 obesity, geography 2,3 1 http://www.who.int/dietphysicalactivity/factsheet_young_people/en/ 2 Centers for Disease Control and Prevention. State Indicator Report on Physical Activity, 2014. Atlanta, GA: U.S. Department of Health and Human Services, 2014 3 Belcher BR, Berrigan D, Dodd KW, Emken BA, Chou C-P, Spruijt-Metz D. Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status. Med Sci Sports Exerc . 2010;42(12):2211-2221. doi:10.1249/MSS.0b013e3181e1fba9.

Schools are an ideal place to intervene and increase physical activity 55 million Half of waking students enrolled 1 hours in school 2 >50% of the recommended 60 Opportunity for MVPA minutes in school 2 equity 1 https://nces.ed.gov/fastfacts/display.asp?id=65 2 Institute of Medicine, Press TNA. Educating the Student Body: Taking Physical Activity and Physical Education to School . Washington, DC; 2013.

What is Georgia Shape A statewide, multi-agency, multi-dimensional initiative of Governor Nathan Deal Philanthropy Academia Addressing Childhood Obesity Government Business

Initial Policy S.H.A.P.E Act : State-wide annual Aerobic Capacity fitness assessment for students in grades 1- BMI Health 12 taught by certified Flexibility (Body Mass Index) Related physical education Fitness teachers Components Muscular Muscular Launched 2011-2012 Endurance Strength school year

Initial Results/Findings 43% of Georgia children are overweight or obese 20% of Georgia children were not in the Healthy Fitness Zone for ANY of the Fitnessgram assessments 16% of Georgia children were in the HealthyFitness Zone for all Fitnessgram assessments

Call to Action – Power Up for 30 30 minutes Every Day Every School Every Child Funded in part by The Coca-Cola Foundation

Power Up for 30 Collaboration and Implementation Strategies Panelist: Christi Kay, MEd President HealthMPowers, Inc. Christi.Kay@healthmpowers.org

HealthMPowers Founding Sponsors  Centers for Disease Control and Prevention  Children’s Healthcare of Atlanta  Rollins School of Public Health, Emory University Mission: To empower healthy habits and transform environments where children live, learn and play What We Do: Multi year comprehensive nutrition and physical activity programming Who We Serve: Child care centers, elementary, middle and high schools, out of school time providers and communities

Physical Education Before/After Physical School Activity Physical During School Activity Family and Staff Community 60 Engagement Engagement Minute s Comprehensive School Physical Activity Program (CSPAP)

Pilot - 2013 • 39 Schools (5 districts) • Key Partners – Departments of Public Health and Education – Blue Cross Blue Shield of Georgia Foundation (funder) – HealthMPowers, Inc. (non-profit - training) – Georgia State University (evaluator) • Three Trainings • Data Collection

Pilot Intervention Model Program Components Program Outcomes Student Outcomes Establish Increased MVPA School Health in PE Team Obtain Baseline Improved Aerobic Increased PA in Data Capacity Classroom Improved Weight Implement Increased PA Status Trainings Before School (BMI Percentile) Improved School Provide Environment for Resources PA

Power Up for 30 Process Sign up Sign Pledge Admin, PE, Establish Team Classroom Power up for Complete Assessment 30 Survey Data Mining Attend Training Best Practices Create a Plan PA Resources Implement Plan 30 Minutes! Follow Up Assess Progress Survey

Training • Facilitators and Barriers to PA in School • Research • Data Mining – Self Assessment Results • Best Practices, Strategies and Resources – Classroom PA – Recess – Before and After School • Integration – Time • Commitment Planning

Data Mining – Activity Power Up for 30 Survey Results

Data Mining Processing and Planning Use your school’s Power Up for 30 Data Mining to explore the areas of before, during, and/or after school. Let’s see where physical activity can be added to your school day. Example: 0 15 15 15 15 0 BOKS 10 5 15 0 0 0 0 10 HMP Mind in Motion 10 0 0 0 0 0 5 JAMin ’ Minute 0 5 0 0 0 0 0 0 0 0 30 30 10 20 30 30 minutes, every day, every child

Power Up for 30 Plan Before/After School Program

Resources • Online Trainings • Physical Activity Resource Guide • Handouts • School PA self-assessment • Power Up for 30 Plan templates • Making the Pitch Slides and Notes • Success Stories • Incentives

Power Up for 30 School Engagement 881 Schools Reached 1898 Staff Trained 467,626 Students Impacted

Power Up for 30: a Quasi-experimental Study Evaluating the Impact of an Elementary School-Based Intervention on Physical Activity Opportunities in Georgia Patricia Cheung, MPH Rollins School of Public Health, Emory University Email: pccheun@emory.edu

Impact of school-based physical activity interventions on physical activity Multi-component Generally thought to be interventions increase effect sizes 2, 3 effective 1, 2, 3 Effective components: 2 Interventions have During school small impact 2 Before and after school Staff wellness 1 Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane database Syst Rev. 2013;2:CD007651. doi:10.1002/14651858.CD007651.pub2. 2 Russ LB, Webster CA, Beets MW, Phillips and DS. Systematic Review and Meta-Analysis of Multi-component Interventions Through Schools to Increase Physical Activity. J Phys Act Health. 2015. 3 Kriemler S, Meyer U, Martin E, van Sluijs EMF, Andersen LB, Martin BW. Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. Br J Sports Med. 2011;45(11):923-930. doi:10.1136/bjsports-2011-090186.

Types of multi-component physical activity interventions Specified Intervention 1 Adaptable Intervention 2 • • Hired physical activity leader 6-hour workshop for PE • teachers Monthly in-service • Action plan development opportunities for teachers • Resources • PE curriculum changes • Support • Structured/semi-structured recess • Frequent activity breaks 1 Brusseau TA, Hannon J, Burns R. Effect of a Comprehensive School Physical Activity Program on Physical Activity and Health-Related Fitness in Children from Low-Income Families. J Phys Act Health. 2016;(May):888-894. doi:10.1123/jpah.2016-0028. 2 Carson RL, Castelli DM, Pulling Kuhn AC, et al. Impact of trained champions of comprehensive school physical activity programs on school physical activity offerings, youth physical activity and sedentary behaviors. Prev Med (Baltim). 2014;69:S12-S19. doi:10.1016/j.ypmed.2014.08.025.

Goal and Hypothesis Power Up for 30 aims to increase physical activity (PA) opportunities (e.g. during physical education (PE), during recess, in class, before school, and after school) offered to elementary school students By one year after PU30 training, PU30-trained schools will have more PA opportunity time than untrained schools, even after adjusting for demographics, school characteristics, and baseline physical activity

Study Design All 1,333 Georgia elementary schools received PA School Survey in 2013-2014 (baseline) 614 elementary schools excluded 719 elementary schools with response from admin, PE teacher, and at least 3 grade level chairs 300 elementary schools with 419 elementary schools with no training from 2/2014-9/2014 training from 2/2014-9/2014 PU30 Arm: 79 randomly Comparison Arm: 80 selected randomly selected 0 declined to participate 0 declined to participate 79 included in study and 80 included in study and received received follow-up survey follow-up survey

Study Measures and Data Sources Measures Measures Data Sources Data Sources Frequency (occurrences/week) and duration Frequency (occurrences/week) and duration Statewide School Physical Activity School- School- (minutes/occurrence) of: (minutes/occurrence) of: School Setting Physical Activity   level level PE PE Survey Survey   Outcomes Outcomes Recess Recess   Classroom PA breaks Classroom PA breaks   Before-school PA Before-school PA   After-school PA After-school PA School- Student Demographics Department of  level Race/ethnicity Education  Covariates Free/reduced lunch rate School Characteristics  School size  Geographical setting