Healthy Kids Program Proposal

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    Page 1Table of Contents

    Table of Contents .......................................................................................................................... 1

    Executive Summary ...................................................................................................................... 2

    Introduction ................................................................................................................................... 3

    Statement of Need ......................................................................................................................... 4

    Program Narrative ........................................................................................................................ 9

    Introduction ................................................................................................................................. 9

    Current Efforts ........................................................................................................................... 11

    Goals..........................................................................................................................................12

    Feasibility/Resources ................................................................................................................ 15

    Need .......................................................................................................................................... 17

    Evaluation and Assessment ....................................................................................................... 18

    Sustainability ............................................................................................................................. 19

    Benefits ...................................................................................................................................... 20

    Conclusion ................................................................................................................................... 20

    Works Cited ................................................................................................................................. 23

    Appendices ................................................................................................................................... 25

    Primary Investigator Bio ........................................................................................................... 25

    Budget Spreadsheet ................................................................................................................... 26

    Timeline of Program Events ..................................................................................................... 27

    Info on Sponsor ......................................................................................................................... 29

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    Page 2Executive Summary

    Childhood obesity is a national epidemic. The scary reality is that these children arelikely to carry their obesity problems into adulthood. Recent statistics show that At least 20million children under the age of5, more than 9 million children and adolescents (ages 6-19), and about 142 million adults (age 20 and older) are considered obese (Heart Disease,2008). This is not a problem to be taken lightly, because about 400,000 deaths areattributed to inactivity and poor diet every year (Mokdad, Marks, Stroup, & Gerberding,2004). No one is immune to this problem, and while it has not traditionally been the role ofthe public school system to address the weight of its students, the current situation nowrequires it. Circumstances are much different than years prior, and it is being reflected in

    the latest statistics.

    There are many reasons behind increased rates of childhood obesity, however,instead of addressing the problem after it begins, it is time for a new approach. We need toeducate children early in life about leading an active, healthy lifestyle. A myriad of factors

    have contributed to poor diets and sedentary lifestyles. Cut-backs on physical education,technology, and poverty are just a few. But compared to 1980, obesity rates in childrenhave risen from 5% to 12% in children ages 2-5 and from 6% to 17% in children ages 12-19(Obesity Prevalence, 2006). If one goes back even farther, into the 1960s obesity rateswere below 5% for all children ages 2-18 (Prevalence Of, 2006). However, this national

    problem is just as easily seen on the local level in towns all across the United States.

    The Neshaminy School District has done a fair job of handling the increasing ratesof obesity in children. In 2004, the district won a grant of $241,390 in an effort tospecifically target childhood obesity by expanding its physical education program. Then in2006, the district teamed up with local hospital, St. Marys Medical Center to create a

    program called KidShape. This program saw great success, but as enthusiasm waned, it lostmomentum. In addition to these major steps, there have been some more subtle steps aswell. All in all, it is time to be more aggressive and put into place a more strategic and

    dedicated program to really combat this problem.

    In order to help Neshaminy School District with the childhood obesity problem,HealthyKids is a program that has been designed to target two of the most common causes;lack of physical activity and poor diet. It is designed to deal with obesity in a preventative,educational, and practical manner through four different approaches. First is a BMIscreening for every student from kindergarten until they reach 12 th grade. Second, is aninitiative to provide healthier food for students in the cafeteria, vending machines, etc.Standards will be put into place to ensure quality food is offered. Third, physical education

    will be implemented daily for all students. Fourth, nutrition will be inserted into thecurriculum of health education, so students can be educated early about healthy eatinghabits. It is the hope of HealthyKids that the district takes this proposal into considerationbefore this obesity epidemic gets any more serious for our children. This comprehensiveapproach has been designed specifically for students K-12 and if executed correctly, should

    see a high rate of success.

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    Page 3 Executive Summary

    Introduction

    The obesity epidemic affects all Americans, but the most devastating it when it strikes

    children. Since the 1960s, obesity rates have steadily increased in the U.S. and dont seem

    to be declining anytime soon. While it has not traditionally been the role of the public

    school system to address the weight of students, the situation has become dire enough to

    require the assistance and support from schools. HealthyKids is a program that will allow a

    school district to follow four main strategies to help its students to thrive and lead healthy

    lives. While there is no miracle method that will keep all children from becoming obese,

    there are proven tactics that will benefit children enormously. While there are no statistics

    specifically regarding Neshaminy students and obesity rates, about 20% of children in

    southeastern Pennsylvania alone are considered to be obese. This number is much too high,

    which is why this proposal aims to cut this rate within the schools of the Neshaminy School

    District. It is time for Neshaminy School District to take more aggressive actions to help

    curb obesity within its schools. But what can schools do to help children from suffering

    from obesity and its effects? It is important to realize that the practices that children learn

    early on they are most likely to bring with them into adulthood. Children spend so much

    time in school, which gives schools a unique opportunity in which to mold the habits of

    children in a positive way. By tracking childrens weight through Body Mass Index (BMI)

    Screenings, implementing physical education daily, adding nutrition education to health

    classes, and providing healthy food choices in school, students will learn what it means to

    be healthy early in their lives. This gives them the knowledge to lead healthy lives in the

    future.

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    Page 4Statement of Need

    Statement of Need

    While childhood obesity is a global problem, it can easily be identified on the local

    level as well. Three major factors contribute to obesity and they include physical activity,

    dietary habits, and socio-economic status. Childhood obesity affects kids in all grades; K-

    12. Many people view obesity and other weight issues as a personal one; however, schools

    play a major role in influencing the behaviors and lifestyle choices of children. Kids spend

    about 8 hours a day and 5 days a week in school from about ages 5-18. Thus, schools have

    more than sufficient time to shape children into leading healthy lifestyles.

    Lower Bucks County, a suburb of Philadelphia, Pennsylvania is just one of many

    examples of the obesity problem in the United States. The most recent U.S. Census from

    2008 estimates the population of the area to be about 620,000, with about 23% of that

    population being under the age of 18. It is a predominantly white area (91.8%), with

    African-Americans as the largest minority (3.7%). The percentage of high school graduates

    is fairly high, at a little over 81%. It is a largely

    middle to upper-class county, with only 5% of the

    population falling under the poverty level and a

    median income level of about $70,000 (U.S. Census,

    2008). The major public school for the Lower-

    Bucks area is the Neshaminy School District. It

    covers 27.6 square miles that consists of 14 schools and approximately 9,200 students

    (Neshaminy, 2008). These demographic characteristics rule out low socio-economic status

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    Page 5 Statement of Need

    as a major problem in the Neshaminy district, as most of the population are above the

    poverty level. This leaves physical activity and dietary practices as the main culprits in this

    particular county. But in order to address a problem, one must first understand the root of

    the problem, and often times with obesity it involves public awareness.

    When lined up against surrounding counties in Southeastern Pennsylvania, Bucks County is

    doing comparatively well. The chart below shows Bucks in comparison to other counties

    and it is clearly lower than the rest, however, 19.5% of children being classified as obese is

    still much too high.

    Similarly, the goals set by Healthy People 2010 have still

    not been met. As shown in the chart below from the Public Health

    Management Corporation, the goal for childhood obesity was to

    reach a 5% obesity rate, yet as of 2008 childhood obesity was still

    Source: (Kotranski & Axler, 2006)

    The goals set

    by Healthy

    People 2010

    have still not

    been met.

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    Page 6Statement of Need

    at 19.2%. One good sign is that obesity rates are slowly coming down, but as stated before,

    almost 20% of children classified as obese is still much too high.

    Neshaminy has recognized obesity as a problem and taken steps to address it. In

    2004, the district won a grant of $241,390 in an effort to specifically target childhood

    obesity by expanding its physical education program. Charles Schmidt, the lead teacher for

    health and physical education at Neshaminy, worked closely with local hospital, St. Marys

    Medical Centers Terry Rivera, the hospital's community health

    services department. Together, they outlined the Active, Healthy

    Kids Program in an effort to teach kids about an active lifestyle and

    healthy eating habits. While they did not have specific statistics on

    Source: (Community Health, 2008)

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    Page 7 Statement of Need

    the percentage of obese children in the Neshaminy district, Schmidt estimated about 15-

    20% of Neshaminy students are obese (Jenkins, 2004).

    In 2006, St. Mary Medical Center launched a program called KidShape, which is an

    8-week long program for children ages 6-14 whose Body Mass Index (BMI) have reached a

    dangerously high level. It educates them about the health consequences of obesity and

    provides facts about healthy eating through interactive workshops. The program saw the

    following results (Taking Care, 2006):

    Nearly 80 Neshaminy students and their families graduated from KidShape.

    BMI of participating students decreased by 0.4 of a point.

    Students vegetable consumption increased by 2.1 servings per week, their

    weekly fruit consumption increased by four servings per week, and their added

    fat and sweet consumption decreased by 5.3 servings per week.

    Students spent 3.6 hours more each week being physically active, while their

    time spent on inactive pastimessuch as watching television, using the

    computer, or playing video gamesdecreased by 7.1 hours.

    In addition to these programs, Neshaminy schools have made minor, more subtle

    changes. For example, all of the vending machines selling snacks and soft drinks have been

    eliminated in an effort to promote healthier eating. Karen Wychok, principal of Neshaminy

    Middle School has implemented things such as a 1-mile walk around the school during fire

    drills and a mountain bike riding option in gym class for children who may not enjoy

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    Page 8Statement of Need

    traditional sports (The Challenge, 2008). While these small techniques will not solve the

    problem, they do promote healthier lifestyles while children are at school.

    Over the years, Neshaminy has tried several programs and initiatives to deal with

    childhood obesity. While they have been mildly successful, further programs need to be

    implemented to more aggressively attend to the obesity problems of its students. According

    to the Neshaminy website, elementary school students receive only one physical education

    class per week, middle school students have class two or three times a week, and high

    school students have class twice a week (Neshaminy, 2008). Furthermore, a look at their

    Board Minutes from the past 3 years yields no evidence of discussion about the obesity

    problem in the District. With major renovations taking place at Neshaminy High School for

    these past 3 years, it seems that the vigor in which administration was addressing obesity in

    previous years has fallen to the wayside in favor of funding and managing the renovations.

    Neshaminy should be looking into some policy changes as other schools have done in order

    to raise awareness of obesity and motivate parents and

    children to do something about it.

    The programs that have been run so far have

    provided a good springboard for Neshaminy to build off

    of, but the problem of childhood obesity is a major

    problem that deserves more aggressive tactics.

    Recently, Massachusetts decided to adopt a plan like that of

    Arkansas. It consists of a BMI (Body Mass Index) screening

    Childhood obesity is a major prob-

    lem that deserves more aggressive

    tactics.

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    Page 9 Statement of Need

    program for children to detect rates of obesity. It is the most ambitious campaign in the

    country in taking on childhood obesity. April Rodgers, a mother of two young boys.

    When I saw that my sons were considered obese, it was a shock, said Rodgers, who,

    armed with the weight score sheet, returned to the pediatrician and got a referral to a child

    weight specialist. Since enrolling at the specialty clinic, the boys have nudged closer to

    normal weight (Smith, 2009). The screenings are held at intervals in the first, fourth,

    seventh, and 10th grades, which allows parents to track their children and evaluate whether

    they are on a healthy track. While these states follow this practice under government

    mandated legislation, Neshaminy could simply use this procedure as a private method of

    tracking obesity as part of its health evaluations.

    School administrators should combine the efforts of the many individuals. By

    maintaining the relationship with local hospital St. Marys Medical Center, and combining

    that support with the roles of physical education teachers, health teachers, and school

    nurses, a higher level of awareness could be achieved. Only then, when the district has

    secured the motivation and sense of urgency from its students and parents, can they begin to

    implement programs of physical education and dietary. Because at the moment, many

    children do not understand the harm they are inflicting on their bodies, and until they do,

    their ignorance will prevent them from taking any school-initiated programs seriously.

    PROGRAM NARRATIVE

    Introduction

    To be planned in the summer of 2009 and implemented in September 2009 at the start of the

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    Page 10Program Narrative

    new school year. It will go into effect for all elementary schools, middle schools, and the

    high school in the Neshaminy School District. This pilot program will be evaluated

    throughout the school year culminating in a final evaluation upon the end of the school year

    in June. Appropriate changes will be implemented during and after the year as deemed

    necessary. Combined efforts of school administrators, faculty, parents, students, and

    healthcare professionals will be critical for the success of this program.

    Childhood obesity is a national epidemic that can be felt in counties all over the

    United States, and Bucks County is no different. It is time that a tangible plan is put into

    place with the specific purpose of keeping the roughly 9,000 students in the Neshaminy

    School District at a healthy weight. It is time for the School Board to take into

    consideration,HealthyKids, a multi-approach program that would address childhood obesity

    in Neshaminy schools. Neshaminys mission statement reads, The Neshaminy community

    empowers students to become productive citizens and lifelong learners. Neshaminy - We

    build futures! (Neshaminy, 2009). Assuming that the district really is committed to these

    goals, this program would

    help in their efforts. In order

    for children to grow and

    become empowered and

    productive, many basic needs

    should first be met. In

    Maslows famous Hierarchy

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    of Needs, he illustrates the levels of needs that people must fulfill in order to develop, and

    the very first set of needs that need to be met he defined as physiological. These needs

    include sleep, food, and breathing to name a few. All in all, they include basic needs to

    ensure health. These basic needs for survival must be met before we can begin to advance to

    a high self-esteem, confidence, or self-actualization. So in essence, obesity can prohibit

    children from experiencing the very ideals that Neshaminy strives to instill in its students.

    Current Efforts

    Neshaminy schools are doing a relatively good job with their programs directed at leading a

    healthy lifestyle. In the district, elementary school students receive only one physical

    education class per week, middle school students have class two or three times a week, and

    high school students have class twice a week (Neshaminy, 2009). Gym classes are 50

    minutes each, so children are receiving 50 minutes in elementary school, 100150 minutes

    in middle school, and 100 minutes of physical education in high school per week.

    However, the Center for Disease Control recommends at least60 minutes of physical

    activity each day for children and adolescents (How much, 2009). Topics like diet and

    nutrition are notcurrently in the curriculum for health classes at all from grades K-12.

    Topics in elementary school include violence prevention, alcohol and drugs, and AIDS;

    topics in middle school and high school include sexuality, alcohol and drugs, CPR and First

    Aid, HIV, and conflict resolution. While these topics are important in and of themselves, it

    is important that healthy eating practices and nutrition education be taught to children.

    Additionally, health classes are only held during fifth, sixth, seventh, eighth, and tenth

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    grades all three times per week. Lastly, Neshaminy has already taken steps to improve its

    food service. It has completely eliminated soft drinks from all schools. Vending machines

    and cafeterias have replaced soft drinks with Gatorade and Snapple products. However, a

    majority of the lunches and snacks offered are high-fat, with very few to no healthy options.

    A glance at one week of lunch options in March 2009 includes stuffed crust pizza, tacos,

    chicken nuggets, corn dogs, and mozzarella sticks. Marie Wallace, the Director of Food

    Services says that a goal is to provide nutritious and appealing meals to

    students (Neshaminy, 2009). With this goal in mind, it is time to revamp the lunches that

    are served by Neshaminy schools. These three categories; physical education, health class,

    and school lunches must be held to higher standards in order to really crack down on

    childhood obesity.

    Proposed Plan: HealthyKids

    Goals

    A combination of preventative, educational, and practical approaches have been constructed

    to address obesity through four main objectives which include the following:

    We want to obtain obesity rates for students in the Neshaminy School District

    and track their Body Rate Index from kindergarten to 12th grade.

    We want to increase awareness and knowledge of nutrition and healthy lifestyles

    through education in health classes.

    We want to back up the nutrition education by offering healthy food options for

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    Page 13 Program Narrative: Proposed Plan

    lunches and snacks in all schools.

    We want to increase physical activity every day to provide students with the

    CDC recommended hours of daily physical activity.

    Objective 1

    The first and most crucial element to the program is a Body Mass Index (BMI) screening at

    the beginning of every school year starting when students enter kindergarten. This

    preventative approach will be the job of school nurses to collect the height and weight of

    each student enter it into a database in order to calculate their BMI. These screenings will

    allow a monitoring of each students BMI in order to identify any problems early. Protocols

    will be developed to ensure discretion, confidentiality, and comfort are put into practice

    when dealing with this sensitive and often embarrassing issue. Additionally, letters will be

    sent home to every parent, informing them of their childs height, weight, and calculated

    BMI (see Appendix A). Within this letter will include a list of resources, including

    recommended local health professional to contact if the childs BMI is deemed concerning.

    It is not the role of schools to supply diagnostic services, it is simply to serve as a catalyst

    for further assessment, not a diagnosis, nor a solution (Johnson, 2006).

    Objective 2

    As far as the educational aspect of the program, health classes will need to be much more

    comprehensive by including nutrition and wellness education into the curriculum. By

    eliminating portions of other subject areas already being discussed, such as alcohol and

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    drugs, it will allow for time to be spent on nutrition and healthy-living. Also, portions of

    science curriculums in elementary, middle, and high school classes will be required to touch

    on nutrition education. By learning about the guidelines established by U.S. Department of

    Agriculture, students will be better prepared to make healthy choices when it comes to diet.

    Objective 3

    Going hand in hand with this curriculum addition will be a noticeable difference in the

    cafeteria. Regulations and standards will be set to filter out foods with inappropriate levels

    of fat, sugar, cholesterol, etc. These foods will be phased out and replaced with healthier

    options, much in the way soft drinks were a few years ago. With only

    healthy foods in front of them, the idea is that kids will develop a healthier

    image of food and be more inclined to make good choices when outside of

    the school setting.

    Objective 4

    The last segment of the HealthyKids program is a more intensive physical

    education program. As previously noted, the CDC recommends at least 60

    minutes per day (or 300 minutes per a 5-day school week) for children and

    adolescents. While it is not wholly the responsibility of a childs school to fulfill its

    physical activity requirements, Neshaminy Schools are, on average, only fulfilling 30% at

    the moment. HealthyKids would like to see that percentage increase. In order to implement

    These changes

    would fulfill

    94% of eachstudents

    recommended

    300 weekly

    hours of

    physical

    activity.

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    daily physical education classes, it is proposed that 5 minutes be taken from every class (8

    classes in one day), making classes only 45 minutes instead of 50 minutes (see Appendix

    B). This would create an additional 40 minutes in which physical education could be 5 days

    a week, creating an additional 200 minutes of physical education per week. These changes

    would fulfill 94% of each students' recommended 300 weekly hours of physical activity.

    This 5-minute cut would not have to occur every day of the week, seeing as 1-3 physical

    education days are already built into the school week. Thus, elementary schools would

    have to cut classes 4 times a week, middle schools 2-3 times, and high school 3 times. On

    days where physical education is already a part of the day, classes will maintain their 50

    minutes. In reality, asking for 5 minutes from each class is not much to ask, especially

    when the results will be beneficial. It has been proven that students do better academically

    and behave better when they

    Feasibility / Resources

    The most exciting thing about HealthyKids is that it is very easy to implement, using

    little to no extra resources. The BMI screening only requires a software package in order to

    create a database. But no new personnel, no experience/training, nor any new equipment

    will be necessary. The nurses at each individual school will continue to do what they have

    been doing for years; recording the height and weight of the students with a traditional

    scale. The only difference now is that they will enter these figures into a database that will

    then calculate BMI. It is a quick, efficient, and organized method of tracking the BMI of all

    Neshaminy students.

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    Page 16Program Narrative: Proposed Plan

    As far as the additional material regarding diet and nutrition in health and science

    classes, a meeting of all the health instructors will be necessary. Together, they will put

    together a standard curriculum to ensure consistency, which will be taught in all schools.

    Using the U.S. Department of Agriculture as a guide and a valuable resource, material will

    be very easy to create. With the exception of time, no new resources, personnel, or

    equipment will be necessary. Changing the dietary options in the cafeteria will be relatively

    easy. Food services staff will have to organize a focus group to set standards for calories,

    fat, and sugars in the food they serve. They will have to eliminate foods that exceed these

    regulations and replace them with foods that meet them. School lunches may have to see a

    price increase because healthy foods tend to be more expensive then junk food, but since the

    district will be purchasing from suppliers in bulk, the prices should not go up too much.

    The most controversial element of HealthyKids is the implementation of daily physical

    education classes. It is indeed the most intricate part, yet completely possible. This portion

    will require creativity, sacrifice, and ingenuity. Using

    student teachers from local colleges and universities,

    which there are many of, could alleviate salary additions

    to the budget and still create new teacher positions.

    Where will these gym classes take place? When the

    weather is pleasant, many classes may be held outside.

    When conditions arent as favorable, classes can be held

    in the gymnasiums, pools, cafeterias, and auditoriums. Daily physical education classes

    will ensure physical activity

    every day for all students.

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    Page 17 Program Narrative: Proposed Plan

    Physical education does not have to consist of intricately planned activities everyday; the

    main focus is to get kids physically active every day and learning to incorporate activity into

    their lives every day, not just once or twice a week. Focus groups should be held at each

    school to brainstorm and identify the best plan of action for each school depending on their

    given resources.

    Need

    HealthyKids is greatly needed in the Neshaminy School District because at the moment

    there is very little knowledge about the students and how much obesity is affecting them.

    There are very few statistics regarding obesity rates in this district. This program is a

    unique approach because it combines various initiatives that have been put into place all

    across the United States. With obesity being such a complex problem, it requires a multi-

    faceted approach. In a school setting, childhood obesity should be a top priority because it

    can have an effect on academic performance. Children who are obese or overweight often

    have a low self-esteem stemming from a low body image. Children who dont have enough

    physical activity and eat poorly are often sluggish and unmotivated, which can be reflected

    in their work. Schools can only see the benefits of a comprehensive program such as

    HealthyKids. So it is important that this program be adopted and put into place in order to

    begin to address childhood obesity as soon as possible. With an estimated 15-20% student

    obesity rate, it is a problem that must be taken on before it gets any worse. There are many

    problems that people do not have control over, but childhood obesity is not one of them.

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    Page 18Program Narrative: Proposed Plan

    We can prevent Neshaminy students from dealing with obesity by offering them this

    strategic program designed to attack all of the vulnerabilities that obesity feeds off of.

    Evaluation & Assessment

    Several methods need to be put into place in order to evaluate the success of this program in

    both a formative and summative fashion. The first year of implementation will inevitably

    have kinks that need to be worked out as the program progresses. Thus, each of the

    program elements will be evaluated as follows:

    1. BMI screening

    Pre and post tests will be used to determine BMI at the start of each year

    and evaluate differences.

    2. Healthier lunches

    Focus groups to decide on what standards should be adopted and which

    foods to include.

    Observation will take place to evaluate how popular the lunches were and

    how satisfied students are with them.

    3. Daily physical education

    Surveys

    One survey before, during, and after the program will be used to

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    Page 19 Program Narrative: Proposed Plan

    evaluate the popularity of physical education every day and also

    its effectiveness.

    4. Nutrition classes in curriculum

    Pre and post tests will be used to evaluate how much kids learned over the

    course of the class.

    After all the data has been collected, the members of the focus groups will compile reports

    to organize the data. This will take place during the school year and again upon completion

    of the school year in June. BMI screenings will be easy because the computer database will

    organize all of the data. Nutrition tests will also be easy because they will simply be

    scantron tests which are practically self-graded. The surveys for attitudes surrounding

    physical education and the observation about popularity of the new lunches will be a bit

    more time consuming, but by utilizing online survey sites, the data will already be

    somewhat organized.

    Sustainability

    HealthyKids is a highly sustainable program that requires very little effort to maintain.

    Highly computerized, much of the work does itself. However, someone will need to be put

    in charge of the initiative overall in order to maintain consistency and organization. Then

    someone will be in charge of each of the subcategories to manage them directly (BMI

    screenings, lunches, nutrition education, and physical education). In addition to managing

    the actual program, a focus group of parents should be formed in order for them to voice

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    Page 21 Conclusion

    practical approaches are utilized to counteract the current ignorance and lack of opportunity

    that our children are being served.

    The two biggest demerits of this program are time and money. This being said, any

    quality proposal is going to require an extensive amount of time to plan and implement.

    Furthermore, HealthyKids is a quality program that will require the expertise and time of

    numerous individuals. This will prove to be relatively costly. While the price may seem

    high, at an estimated $16,8841.00, this is mainly for its implementation. After the program

    is set up and put in place, it will pay for itself in the following years. All of the costs reflect

    start-up costs with little ongoing costs in years to come. Thus, HealthyKids is a long-term

    solution to addressing childhood obesity that would benefit Neshaminy students for many

    years in the future. It is a wise investment that may seem steep at the start, but will prove its

    worth over time. That is why we strongly believe that the advantages gained would offset

    this cost.

    One Neshaminy administration and faculty are trained and primed for HealthyKids,

    our consultants will no longer be a necessary element. We will always be available for

    assistance or consults, but as far as the everyday functions of the program, Neshaminy will

    be self-sufficient. It is a proven fact that healthy, active children are more focused,

    confident, and happy on the whole. Therefore, healthy Neshaminy students will exhibit a

    direct correlation to higher test scores, which will result in more government funding and

    more success in securing grants for the district.

    Thank you for giving HealthyKids the opportunity to collaborate with you in an

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    Page 22Conclusion

    effort to help our children. We look forward to the chance to meet and discuss how this

    program could benefit you in more detail. It is our hope that you will take this proposal into

    strong consideration and we can meet on June 29, 2009 to begin the implementation

    process. Childhood obesity is a devastating epidemic, but this program can help to alleviate

    the concern and take positive steps in curbing the problem.

    Please feel free to contact us with any questions, comments, or suggestions you may

    have. Call our project manager, Christie Manzo at (215) 964-7599 or e-mail her at

    [email protected] for further assistance. We are dedicated to providing the utmost quality

    in our service and hope to work with you in the future!

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    Page 23 Appendix: Works Cited

    Works Cited

    1. Community Health Data Base (2008). Retrieved March 26, 2009, from http://

    www.phmc.org/chdb/uploads/datareports/2008%20Slides%20v3%20-%

    20For%20Distribution.pdf

    2.How Much Physical Activity do Children Need? (2009). Retrieved April 1, 2009, from

    http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html

    3. Jenkins, N. L. (2004). Grant helps Neshaminy School District fight student obesity. Bucks

    County Courier Times. Retrieved March 20, 2009, from http://www.mail-

    archive.com/[email protected]/msg00796.html

    4. Johnson, A. (2006). School-based BMI Screening to Prevent Childhood Obesity.

    Retrieved April 7, 2009, http://www.shapeup.org/about/arch_news/

    nl0207.html

    5. Kotranski, L., & Axler, F. (2006, November 8). Obesity Among Adolescents: What Do

    We Know and Where Do We Go?. Retrieved March 26, 2009, from http://

    www.phmc.org/chdb/uploads/datareports/APHAPHMCobesity.pdf

    6.Letters to Parents Regarding Screening (n.d.). Retrieved April 7, 2009, http://doh.sd.gov/

    SchoolWeight/Screeningletter.pdf

    7.Neshaminy School District(2009). Retrieved April 7, 2009, http://

    www.neshaminy.k12.pa.us/neshaminy/site/default.asp

    8. Smith, S. (2009). Taking the measure of youth obesity; Mass. follows Ark. screening

    program. Boston Globe, p. B1. Retrieved March 20, 2009, from http://

    ezaccess.libraries.psu.edu/login?url=http://

    proquest.umi.com.ezaccess.libraries.psu.edu/pqdwe (1661340411).

    http://www.cdc.gov/physicalactivity/everyone/guidelines/children.htmlhttp://www.mail-archive.com/[email protected]/msg00796.htmlhttp://www.mail-archive.com/[email protected]/msg00796.htmlhttp://www.shapeup.org/about/arch_news/nl0207.htmlhttp://www.shapeup.org/about/arch_news/nl0207.htmlhttp://www.phmc.org/chdb/uploads/datareports/APHAPHMCobesity.pdfhttp://www.phmc.org/chdb/uploads/datareports/APHAPHMCobesity.pdfhttp://doh.sd.gov/SchoolWeight/Screeningletter.pdfhttp://doh.sd.gov/SchoolWeight/Screeningletter.pdfhttp://www.neshaminy.k12.pa.us/neshaminy/site/default.asphttp://www.neshaminy.k12.pa.us/neshaminy/site/default.asphttp://www.neshaminy.k12.pa.us/neshaminy/site/default.asphttp://www.neshaminy.k12.pa.us/neshaminy/site/default.asphttp://doh.sd.gov/SchoolWeight/Screeningletter.pdfhttp://doh.sd.gov/SchoolWeight/Screeningletter.pdfhttp://www.phmc.org/chdb/uploads/datareports/APHAPHMCobesity.pdfhttp://www.phmc.org/chdb/uploads/datareports/APHAPHMCobesity.pdfhttp://www.shapeup.org/about/arch_news/nl0207.htmlhttp://www.shapeup.org/about/arch_news/nl0207.htmlhttp://www.mail-archive.com/[email protected]/msg00796.htmlhttp://www.mail-archive.com/[email protected]/msg00796.htmlhttp://www.cdc.gov/physicalactivity/everyone/guidelines/children.html
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    Page 24Appendix: Works Cited

    9. Taking Care, Giving Back (2006). Retrieved March 20, 2009, from http://

    www.stmaryhealthcare.org/documents/

    Public/2006CommunityHealthAnnualReport.pdf

    10. The Challenge of Childhood Obesity (2008). Retrieved March 20, 2009, from http://

    www.rwjf.org/files/research/20080601healthyschoolsneshaminy.pdf

    11. U.S. Census Quickfacts (2008). Retrieved March 25, 2009, from http://quickfacts.census.gov/

    qfd/states/42/42017.html

    http://www.rwjf.org/files/research/20080601healthyschoolsneshaminy.pdfhttp://www.rwjf.org/files/research/20080601healthyschoolsneshaminy.pdfhttp://quickfacts.census.gov/qfd/states/42/42017.htmlhttp://quickfacts.census.gov/qfd/states/42/42017.htmlhttp://quickfacts.census.gov/qfd/states/42/42017.htmlhttp://quickfacts.census.gov/qfd/states/42/42017.htmlhttp://www.rwjf.org/files/research/20080601healthyschoolsneshaminy.pdfhttp://www.rwjf.org/files/research/20080601healthyschoolsneshaminy.pdf
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    Page 25 Appendix: Primary Investigator Bio

    Primary Investigator Bio

    My name is Christie Manzo and I am a junior The Pennsylvania State University

    (University Park). As a Commercial Recreation Management major and a summer camp

    counselor, this topic is particularly interesting to me. I can personally see the decline in

    physical activity within todays youth compared to even my generation. Many children

    would much rather be inside lying on the couch than running around outside with their

    peers. This has translated into a obesity epidemic among children and with it, the

    subsequent health problems. Being a Neshaminy alumnus myself, the school district has a

    special place in my heart, so the fact that a little less than 20% of the students are obese is

    very disturbing to me. I have done much research on the topic and am well learned on the

    programs that have been launched all across the United States, so I am familiar with what

    has and has not been successful. It is my belief that a program that addresses the main

    factors of obesity could be effective and very successful given an adequate amount of

    support from administrators. By addressing obesity in a preventative, and educational, and

    a practical method, childhood obesity could be contained. Upon completion of my

    undergraduate degree, I hope to continue my efforts towards curbing the childhood obesity

    epidemic by consulting with schools and community organizations.

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    Page 26Appendix: Budget Spreadsheet

    HEALTHYKIDS 2009-2010 BUDGETCost

    Project Leaders' Salary & Benefits

    Mark Schmidt, director of physical education department (20 percent time) 13400

    Jan King, senior physical education teacher (10 percent time) 7000

    Major Participants' Salaries & Benefits

    3 Training Consultants for ongoing sessions (75 hours @ $25/hour) ~5625

    14 School Nurses (10 percent time) 56000

    Staff and Assistants4 Secretaries (10 percent time) 10000

    Physical Education Teachers (10 percent time) ~55000

    10 College Interns (unpaid, given college credit) 0

    Materials

    BMI Software Package 450

    Nutrition Literature (books, videos) 6500

    Promotional Materials (pamphlets, newsletters) 1000

    Additional physical education materials (equipment) 2500

    Travel Expenses (for travel among district schools)Local Mileage for Consultants: 300 mi/mo @ $0.17/mi x 12 mos. 612

    Local Mileage for Project Leaders: 100 mi/mo @ $0.17/mi x 12 mos. 204

    Communications & Dissemination

    10,000 Parent Notification Letters (150 reams of copy paper @ $3 each + 5

    ink refills @ $40 each) 650

    Postage 600

    Evaluation

    2 Evaluation Consultants for 3 consultations (20 hours @ $50/hour) 6000

    Survey Materials 300Testing Materials for Nutrition Tests (scantrons, paper) 2000

    Indirect Costs 1000

    TOTAL COSTS 168841

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    Page 27 Appendix: Timeline of Events

    06/29/2009 Introduction of Program to the Boardand Faculty Members

    08/24/2009 Outline of Program for the 09/10 SchoolYear to Faculty

    09/01/2009 Implementation of Program

    12/14/2009 Forum for Mid-Year Evaluation of Pro-gram

    06/28/2010 Forum for End-Year Evaluation of Pro-gram

    07/05/2010

    Committee Meeting to Devise NecessaryChanges

    08/23/2010 Outline of Changes to Program

    09/01/2010 Implementation of Revised Program

    Timeline of Program Events

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    Page 28Appendix: Sponsor Info

    Sponsor Information: Neshaminy School District

    COMPANY INFO: The Neshaminy School District covers 27.6 square miles in historicBucks County, PA (northeast of Philadelphia). Neshaminy is an Indian name, a reminder ofthe Lenape Indians who lived along the Neshaminy Creek. Primarily a residential district,Neshaminy has 14 schools servicing 9,200 students from the boroughs of Hulmeville,Langhorne, Langhorne Manor, and Penndel, and the townships of Lower Southampton and

    Middletown.

    MISSION STATEMENT: The Neshaminy community empowers students to become

    productive citizens and lifelong learners. Neshaminy - We build futures!

    VISION:The Eight to Remain Great

    Student-Success Centered

    The overarching understanding of the Neshaminy School District is that District success is

    tied to student success. Each decision that the District makes should be benchmarked with

    how it can contribute to student success.

    1. Observe and take initiative

    2. Understand what success is for students

    3. Recognize and validate diversity and equity

    4. Seek measurable outcomes and results

    5. Believe that all can learn and be successful

    Continuous Learning Organization

    A continuous learning organization reflects on its practices to determine if what it is doingremains the best practice for success. Innovative and out-of-the-box thinking is

    considered along with traditional thinking.

    1. Embrace reflection (challenge assumptions)

    2. Willing to share and listen actively

    3. Maintain a safe environment to take risks and be creative

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    Page 29 Appendix: Sponsor Info

    4. Collaborative decision making

    5. Be prepared

    Informed Communication

    Information is a source of power in any organization. The Neshaminy School District

    recognizes that long term success is more likely when all are active participants. Accurate

    and available information is necessary to empower all to strengthen the District.

    1. Research based actions

    2. Gather accurate and comprehensive information (understanding impact of laws,

    regulations or policies)

    3. Communicate to strengthen, empower, and foster respect and trust4. Utilize process driven methods

    5. Share information continuously

    Efficient ExcellenceSchool districts are challenged to appropriately balance the conflicting forces of

    maximizing student achievement while minimizing the impact on taxes.

    1. Plan thoroughly and clearly (including an understanding of sustainability)

    2. Focus on excellence, then efficiency

    3. Plan for respectful transitions when change is necessary

    4. Understand the nature of costs and seek the best return on investment

    5. Define priorities clearly

    Committed and Engaged Staff

    The Neshaminy School District is a service organization in which people play the most

    important part for long term success. It is critical to hire the best people and to develop

    their strengths . Staff members contribute by strengthening themselves and strengthening

    the District.

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    Page 30Appendix: Sponsor Info

    1. Establish and maintain clear job expectations

    2. Look for top talent and hire the best people

    3. Seek out diversity

    4. Engage proactively in the strengthening of the culture 5. Commit to strengthening

    oneself, others, and the District

    Support and Professional Development

    In addition to individual staff members showing their commitment to the vision, the

    Neshaminy School District needs to show their commitment to staff through investment andencouragement. By making available resources, robust training, and constant support, staff

    will best be able to bring students to desired successes.

    1. Establish clear goals for growth

    2. Differentiate support

    3. Provide clear and comprehensive communication

    4. Strengthen the workforce

    5. Focus on quality, not quantity

    Community SupportThe Neshaminy School District is the largest part of the larger community. The SchoolDistrict contributes to the climate and value of the community, and the community

    contributes to the success of the School District.1. Support financially and culturally

    2. Encourage Board participation in the vision

    3. Support students

    4. Maintain and model high expectations

    5. Actively listen and resolve issues through defined channels

    Parental Support

    Students are dramatically influenced by peers, culture, the Neshaminy School District, and

    their families. A collaborative partnership between the District and the parents increases

    the likelihood for students to make good decisions in an increasingly competitive and

    challenging period of time.

    1. Develop partnership in supporting students

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    Page 31 Appendix: Sponsor Info

    2. Maintain an active interest in students lives

    3. Support the efforts of the District to maintain a safe and healthy learning environment

    4. Maintain and model high expectations

    5. Actively listen and resolve issues through defined channels