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Healthy People eLearning Webinar: Reducing Childhood Obesity (Part 9 of 10)

Healthy People eLearning Webinar: Reducing Childhood Obesity (Part 9 of 10)


EMMELINE OCHIAI: The next question is for
Dr. Anand. Is there a summary of all the communities and their initiatives, particularly those
doing things other than 5210? DR. ANAND: That’s a great question, thank
you. We have some information about each of the teams posted on our website at www.collaborateforhealthyweight.org.
We are in the process of, we’ve just finished a final report, and have created a team page
for each of the teams that we work with and are in the process of uploading those to the
website as well. And they do have granular examples of things that the teams have engaged
in. In addition to 5210 there are examples of healthy weight plans and other strategies
that the teams have used as well as links to some of the resources as Shaila mentioned
earlier. EMMELINE OCHIAI: Wonderful. The next question
is directed to Laura Kettel Khan. Are there any common elements among the promising examples
that you mentioned. For example, do they implement a certain strategy or multiple strategies?
LAURA KETTEL KHAN: Actually yes, and as a matter of fact one of the things I neglected
to say when I was presenting is that the one thing that we’ve noticed and we have not documented
this well yet, but as I said that is part of the NCCOR What’s Working project, is to
document all this. What we’re realizing in our real, and I mean this is very high level
assessment of these locations where we’re seeing BMI decline is that it truly is a multi-sectorial
approach, its policies from the perspective of urban planning and community managers relative
to complete streets and access to parks and then it’s also policies and regulations within
school systems and school districts as well as individual schools. It might even be what
you would call individual schools that are almost champions of taking on these policies
and really, I hate to say this, but in the school systems there is the local wellness
policies, which is a federally mandated policy that every, all schools are supposed to have,
but there’s no funding behind it and etcetera so the level and intensity of implementation
varies widely, but if, in some of the communities that are reporting successes the schools are
really taking those policies to heart and doing major overhauls of their food service
practices and truly taking on the time allotments during the day and during the week for physical
education to really get the kids to have an opportunity to be extremely physically active.
I mean at the moderate and vigorous level. So, when all those things, those multiple
components come together that’s when and where we’re seeing success. And so as folks have
mentioned on this call today, it’s not one single driver. It’s almost like it’s got to
be this mix of a whole bunch of different forces coming together, that even — how do
I say this — that it seems to be supporting and encouraging a social norm change and,
and when I say social norm I mean social expectation of the help of their community and that’s
when we’re seeing the actual declines in BMI. Unfortunately right now, I mean today, we
don’t know what that magic mix is. And I’m almost suspicious there’s not going to be
any particular magic formula like you have to do x, y, and z. It’s going to be a cluster
of different things that have to happen. But as I mentioned when I was talking earlier,
that’s what we’re trying to tease out from a research and evaluation perspective of getting
some tools and protocol developed that we can share with communities to say you’ve got
to at least do a blend of x, y, and z or it’s not going to happen. Because just working
in one sector is not showing results, you can’t just have a single champion,you can’t
just have lots of money it’s really got to be very dynamic and so that’s what we’re…
I can’t, I don’t have the data to show that, but that’s where we’re headed. I mean I just
know a year from now that’s what I’m going to say again.
EMMELINE OCHIAI: Great that’s very, actually very helpful and very informative, Laura.
Thank you for sharing that with us. Our next question is to Kari and Shaila. Many schools
do not want to adopt or implement policies because they feel they will be sued if they
do not follow them, they prefer guidelines instead. Do you find this to be the case in
your school? SHAILA SERPAS: This is Shaila, I’ll go first
because we’ve had a lot of engagement from our school district and I think it was a process
of initially reaching out to staff and parents from within the school district. So first
of all really having the leadership of a Superintendent that really felt like this wellness was important,
and then a staff person in charge of wellness in the district. So I feel like those were
two critical pieces because years before that was in the place as a parent in the district
without polices set in place I really did have a hard time at the local level working
to support improved wellness at a local level at a school site. So coming from the top I
think it’s really critical to that process and I think that it, it was not overnight
it was really testing it at local sites was part of it to engage parents and for those
parents to be sort of like the positive deviants and be spokespeople for the community and
go to board meetings. Another critical thing the Superintendent
did is was when the principals report to the board the status of their schools, which is
a traditional event and they put together a PowerPoint and they report on what’s going
on at their school site, what their testing is, and their…the wellness was a key component
that was included in that. So then suddenly principals were showcasing and sharing and
highlighting and didn’t want to be left behind so there were sort of multiple levels of engagement
form the top from the bottom from a grassroots level and I think that really over time led
to the very strong wording and even removing chocolate milk had some pushback from like
dairy council and you know some local, you know even the food services people were concerned
about dropping revenues and things. So, but once the kids were engaged and parents then
it was just, it made sense to remove that as part of the overall strategies that were
going on. KARI ELLINGSTAD: And this is Kari, in our
community, I can’t say that we really dealt with the issue or heard feedback about schools
being afraid of being sued for implementing a policy. I guess one of the challenges and
this is different than Shaila had cited in San Diego, is that you know we don’t necessarily
have our district leadership driving or commanding that we you know take this on district wide.
Our schools here are really autonomous and our principals have a lot of power and authority
over their own schools. And so, you know, we’re really leveraging those school nurses
to have those conversations with the principals about the policy change opportunities and
opportunities for practice changes at those schools and, and working with the school health
advisory committees at the schools to make those changes happen. So it’s for us, you
know it’s a little bit school by school in terms of those policy changes and you know
we’re hoping that will change as we build this, this culture that is demanding healthier
policies and practices.

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