5-2-1-0 Healthy Messaging Campaign webinar slides

5-2-1-0- Healthy Messaging Campaign

https://learn.extension.org/events/2145

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.

Research and evidenced-based professional development

through engaged online communities

www.extension.org/militaryfamilies

Sign up for webinar email notifications at www.extension.org/62831

Facebook.com/MFLNNutritionWellness@MFLNNW

www.youtube.com/user/MIlFamLN

MFLN Nutrition and Wellness

Military Families Learning Network (MFLN)

September 22, 2015 11am EST

Make the most of this training!

1 2 3

Ask questions!

Email: 5210@psu.edu

Use the information &follow up with me!

Jen DiNallo, Ph.D.jmd422@psu.edu

Websitehttp://5210.healthymilitarychildren.psu.edu

Training modules

Implementation Guide

Think about what you want to learn today?

Learning Objectives:

1

2

3

4

You will be able to state what the mnemonic 5-2-1-0 represents, as well as the relevance of the mnemonic and the population for whom this campaign was developed. You will be able to list the 2 main goals of 5210 Healthy Military Children health messaging campaign. You will be able to list strategies for successfully implementing a health messaging campaign in a community setting You will be able to state the rationale behind EVALUATING both the implementation of a campaign and the short and long term outcomes of the campaign. You will be able to list strategies for successfully SUSTAINING a health messaging campaign for one year in a community setting.

5

or more servings of fruits and vegetables

or fewer hours of screen time

or more hours ofphysical activity

sweetened beverages

5210 is a way to remember four evidence-based health recommendations.

What does evidence-based mean?

Describes a product (i.e., program, strategy, component, service, practice, and/or process) that demonstrates impact on outcomes of interest through application of rigorous scientific research methods that do allow for causal inference.

Where do these

recommendations come from?

The “5 A Day” recommendation comes from a variety of sources.

U.S. Department of Agriculture & U.S. Department of Health and Human Services. (2000). Nutrition and your health: Dietary guidelines for Americans. Retrieved from http://www.cnpp.usda.gov/Dietary-Guidelines-2000

Vegetables Fruits Total

Children ages 2 to 6 3 2 5

Children over age 6, teenage girls, and most women

4 3 7

Teenage boys and most men 5 4 9

NATIONAL CANCER INSTITUTE

USDA FOOD PYRAMID

2000 ED. DIETARY GUIDELNES FOR

AMERICANS

http://choosemyplate.gov/food-groups/

UPDATED recommendations use cups instead of servings.

or more servings of fruits and vegetables

↓EAT MORE

FRUITS & VEGETABLES!

Playing video games

Using social media

Screen time is nonproductive.

free time spent sitting or reclining in front of televisions, computers, tablets, and similar screens.

Screen time is

Typing a book report

Checking work emails

*Reducing/breaking up time spent sitting is always healthy – even if it’s not screen time!

Necessary/productive activities aren’t screen time*.

Is it possible to get a healthy amount of physical activity and engage in an amount of screen time that increases health risk?

4 HOURS

1 HOUR

24-Hour Period

• “Limit the amount of total entertainment screen time to <1 to 2 hours per day.

• Discourage screen media exposure for children <2 years of age.”

Council on Communications and the Media. (2013). Policy Statement: Children, Adolescents, and the Media. Pediatrics, 132(5), 958-961.

Children under 2 should be allowed how much screen time?

or fewer hours of screen time

↓NO SCREEN TIME FOR CHILDREN UNDER 2

REDUCE SCREEN TIME FOR ANYONE AGE 2+

FIND WAYS TO REDUCE/BREAK UP SITTING EVEN IF IT’S NOT SCREEN TIME

Physical activity is any body movement that raises a person’s heart rate above a resting heart rate.

Young children need structured (planned) and unstructured (free play) physical activity.

Birth to 12 months

Interact with caregivers in structured and unstructured physical activities each day that are devoted to exploring movement and developing motor skills.

National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm

Young children need structured (planned) and unstructured (free play) physical activity.

National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm

12 to 36 months

Engage in at least 30 minutes of structured physical activity plus at least 60 minutes (and up to several hours) of unstructured physical activity each day.

National Association for Sport and Physical Education. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5. Retrieved from http://www.aahperd.org/naspe/standards/nationalGuidelines/ActiveStart.cfm

3 to 5 years

Engage in at least 60 minutes of structured physical activity plus at least 60 minutes (and up to several hours) of unstructured physical activity each day.

Young children need structured (planned) and unstructured (free play) physical activity.

Engage in at least 60 min of daily moderate- or vigorous-intensity aerobic physical activity.

Office of Disease Prevention & Health Promotion, U.S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/guidelines/default.aspx

The “1 or more hours” recommendation is for ages 6 to 17.

Engage in muscle-strengthening physical activities at least 3 days / wk.

Engage in bone-strengthening physical activities at least 3 days /wk.

Engage in at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity each week, and include muscle-strengthening physical activities at least 2 days per week. Additional aerobic activity offers more extensive health benefits.

Office of Disease Prevention & Health Promotion, U.S. Department of Health and Human Services. (2008). 2008 Physical Activity Guidelines for Americans. Retrieved from http://www.health.gov/paguidelines/guidelines/default.aspx

The “1 or more hours” recommendation is suitable for adults.

or more hours ofphysical activity

↓BE MORE

PHYSICALLY ACTIVE!

Sweetened beverages contain caloric sweeteners.

Gortmaker, S., Long, M., & Wang, Y. C. (2009). The Negative Impact of Sugar-Sweetened Beverages on Children’s Health. Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2009/11/the-negative-impact-of-sugar-sweetened-beverages-on-children-s-h.html

Sweetened beverages only have negative impacts on health.TRUE or FALSE?

Reducing or eliminating sweetened beverage intake “would have no negative effect on children’s health and would reduce the risk of childhood obesity and many other health problems, including type 2 diabetes, poor nutrition, excess caffeine consumption and dental decay.”

Gortmaker, S., Long, M., & Wang, Y. C. (2009). The Negative Impact of Sugar-Sweetened Beverages on Children’s Health. Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2009/11/the-negative-impact-of-sugar-sweetened-beverages-on-children-s-h.html

TRUE

sweetened beverages

↓AVOID

SWEETENED BEVERAGES

EAT MORE FRUITS &

VEGETABLES!

AVOID SWEETENED BEVERAGES

BE MORE PHYSICALLY

ACTIVE!

NO SCREEN TIME FOR CHILDREN

UNDER 2

REDUCE SCREEN TIME FOR

ANYONE AGE 2+

FIND WAYS TO REDUCE/BREAK

UP SITTING - EVEN IF IT’S NOT

SCREEN TIME

or more hours ofphysical activity

POSTURE BREAK!-stand up!

-move!-walk!

-stretch

What is the HMC

health messaging campaign?

www.hawaii5210.org

“5210” is widely used by public health initiatives.

www.letsgo.org

www.keys4healthykids.com

www.pamf.org

www.uwvp.org

healthylee.com

escambia.floridahealth.gov www.ok5210.org

www.live5210.ca

MC&FP:Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy’s Office of Family

Policy/Children & Youth

Clearinghouse:Clearinghouse for Military Family Readiness at

The Pennsylvania State University

5210 HMC & HC campaigns weredeveloped collaboratively.

5210 Healthy Military Children & 5210 Healthy Children are modeled after Let’s Go 5210!

5210 Healthy Military Children is a health messaging campaign.

Health messaging campaign:

Consistent message: 5210

Multi-sector: throughout the community

Coordinated: benefitting from your leadership, networking & collaboration

5210 Healthy Military Children is not an individual event.

“5210 Healthy Children” refers to the overall campaign.

Individual events support 5210 Healthy Children.

WHY 5210?

Evidence-informed strategies

Multi-sectorapproach

Child health promotion

5210 Healthy Military Children meets a public health need.

5 or more servings of fruits and vegetablesFruits and vegetables are nutrient-dense without being calorie-dense. This means that fruits and vegetables provide a lot of nutrients without contributing too many calories to the diet. Some of the nutrients that fruits and vegetables provide are particularly important because, according to the Dietary Guidelines for Americans, they are under-consumed in the United States. These nutrients include folate, magnesium, potassium, dietary fiber, and vitamins A, C, and K. In addition, diets high in fruits and vegetables are associated with lower risk of chronic diseases, like cardiovascular disease, and certain cancers.

2 or fewer hours of screen timeThe American Academy of Pediatrics has concluded that screen time, and TV time in particular, is one of the causes of obesity. Sedentary behaviors, like screen time, are associated with increased disease risk, even in people who are physically active. That means that a person can be physically active and still engage in an amount of screen time that puts them at risk for various diseases. Screen time may also displace healthier activities where children are moving their muscles, problem solving, relating with others, or engaging in creative play – and these activities are essential for healthy child development. Screen time has been shown to increase unhealthy eating, both because of the influence of advertisements and because of increased snacking during screen time. Finally, screen time can interfere with normal sleep. This is especially true when screen media, like televisions, are present in a child’s bedroom. Sleep is, itself, important for health promotion because it supports immune function and metabolism, and regular sleep deprivation is associated with weight gain, depression, anxiety, stress, and a variety of chronic diseases such as diabetes and heart disease.

1 or more hours of physical activityAccording to the U.S. Department of Health and Human Services, physical activity is one of the most crucial health improvement strategies for Americans of all ages. In children, physical activity improves cardiorespiratory fitness, muscular fitness, bone health, and body composition, and reduces depression symptoms. These same effects happen in adults. In addition, adults who are physically active have a lower risk of cardiovascular disease, type 2 diabetes, and some cancers.

0 sweetened beveragesSweetened beverages are the primary source of added sugars in Americans’ diets and a major source of calories in 2- to 18-year-olds’ diets in the United States. Unfortunately, most of these are empty calories that have no nutritional benefit. Sweetened beverages may also contain caffeine, which is associated with increased anxiety and decreased sleep and sleep quality. Children who drink sweetened beverages drink less milk, and the displacement of milk with sweetened beverages is associated with a lower nutrient intake and reduced bone health. Eliminating sweetened beverages from the diet also promotes child health by reducing the risk of childhood obesity, type 2 diabetes, and dental decay.

5210 behaviors can impact a lot of health outcomes!

5210 behaviors can impact a lot of health outcomes!

Dental decay

Cardiorespiratory fitnessMuscular fitnessBone health

Cardiovascular diseaseCancerObesityHealthy developmentSleepImmunityMetabolismWeight gainDepressionAnxietyStressDiabetes

Nutrient intake

5210 behaviors can impact a lot of health outcomes!

Dental decay

Cardiorespiratory fitnessMuscular fitnessBone health

Cardiovascular diseaseCancerObesityHealthy developmentSleepImmunityMetabolismWeight gainDepressionAnxietyStressDiabetes

Nutrient intake

Actually, it’s a health promotion program.

Isn’t 5210 Healthy Children a childhood obesity program?

5210 Healthy Children has a health promotion focus.

I’m glad you asked!What’s the difference?

5210 Healthy Military Children has a health promotion focus.

Health promotion program

Health promotion is INCLUSIVE.

Childhood obesity program

Good for some children:

obese youth and youth at risk of developing obesity

POP QUIZ: Who is 5210 Healthy Children for?

A B C

Health promotion is INCLUSIVE.

INTERNET HIGH-FIVE!

POP QUIZ: Who is 5210 Healthy Children for?

A B

Health promotion is INCLUSIVE.

Health promotion program

Health promotion is POSITIVE.

Childhood obesity program

Negative focus:

Preventing/decreasing something bad

Positive focus:

Promoting something good

Health promotion is POSSIBLE.

Health promotion: inclusive, positive, possible

or more hours ofphysical activity

POSTURE BREAK!-stand up!

-move!-walk!

-stretch

GOALS:

1. Permeate children’s and families’ environments with the 5210 message.

2. Provide strategies to support 5210 behaviors to a variety of people and places.

5210 Healthy Military Children campaign has two main goals.

Live

Learn

Work

Play

5210 Healthy Military Children is for children & families.

5210 Healthy Military Children targets Child Development Centers.

5210 Healthy Military Children targets Elementary Schools.

5210 Healthy Military Children targets Middle & High Schools.

5210 Healthy Military Children targets Youth Centers.

5210 Healthy Military Children targets After-School Programs.

5210 Healthy Military Children targets Cafeterias.

5210 Healthy Military Children targetsRestaurants.

5210 Healthy Military Children targets Commissaries/Grocery Stores.

5210 Healthy Military Children targets Fitness Centers.

5210 Healthy Military Children targets Community Centers.

5210 Healthy Military Children targets Workplaces.

5210 Healthy Military Children targetsHealthcare Professionals.

5210 Healthy Military Children targetsLeaders.

5210 Healthy Military Children targetsFamilies.

How do you implement 5210 Healthy Military Children health messaging campaign?

1. Check out the 5210 HMC websitewww.5210.healthymilitarychildren.psu.edu

2. Download the Implementation Guide & follow the steps

4. Review the 5210 Healthy Military Children Toolkits

3. Review the 7 training modules & follow the “Action Steps”

http://5210.healthymilitarychildren.psu.edu/

1. Check out the 5210 HMC websitewww.5210.healthymilitarychildren.psu.edu

2. Download the Implementation Guide & follow the steps

4. Review the 5210 Healthy Military Children Toolkits

3. Review the 7 training modules & follow the “Action Steps”

Identify the relevant venues.

Complete the checklist.

?

1. Check out the 5210 HMC websitewww.5210.healthymilitarychildren.psu.edu

2. Download the Implementation Guide & follow the steps

4. Review the 5210 Healthy Military Children Toolkits

3. Review the 7 training modules & follow the “Action Steps”

Training will take several weeks, including time to complete implementation actions.

1. What does 5210 mean?

1 week:• View trainings 1-3

2. What is 5210 Healthy Military Children?

3. Why implement 5210 Healthy Military Children?

4. How to implement 5210 Healthy Military Children: Identifying venues.

2 weeks:• View training 4 and

complete action steps

5. How to implement 5210 Healthy Military Children: Ordering materials.

1 week:• View training 5 and

complete action steps

6. How to implement 5210 Healthy Military Children: Preparing and distributing materials.

2 weeks:• View training 6 and

complete action steps

7. How to implement 5210 Healthy Military Children: Promoting and sustaining the campaign over time.

1 week:• View training 7 and

begin action stepsLong term:• Complete action steps

1. Check out the 5210 HMC websitewww.5210.healthymilitarychildren.psu.edu

2. Download the Implementation Guide & follow the steps

4. Review the 5210 Healthy Military Children Toolkits

3. Review the 7 training modules & follow the “Action Steps”

http://5210.healthymilitarychildren.psu.edu/

ACTION STEP: Review the 5210 Healthy Children toolkit.

ACTION STEP: Review the 5210 Healthy Military Children toolkit.

or more hours ofphysical activity

POSTURE BREAK!-stand up!

-move!-walk!

-stretch

Evaluating & Sustaining 5210 HMC health messaging campaign

Evaluating your campaign

Process evaluation• POC and Venue Owner feedback• Lessons learned• Barriers impactOutcome evaluation• Awareness• Knowledge• Behavior

Evaluating your campaign

Innovative methods• Text based surveys• Smart phone surveys• Computer based surveys• Others?

STOPPLANACT

Take a moment to think about your next steps.

Sustaining your campaign

Take a moment to think about your next steps.

Reflect on what went well, and what didn’t

Use positive and negative reflections for future success!

Process Evaluation- lessons learned: positives & barriers

STOP

Take a moment to think about your next steps.

Some process went smoothly “The printer had my materials ready a

week earlier than estimated.”

Some person was especially helpful“A colleague with connections at the

commissary reached out on my behalf.”

Keep the process in mind for future use“I will keep the printer’s contact

information handy so I can use it again.”

Maintain a great relationship“I will be helpful in return, and build up a network of people I can depend on.”

STOP

Take a moment to think about your next steps.

Some process presented barriers“The middle school won’t launch the

campaign until next month, so they can introduce it at an assembly.”

Some person was especially challenging

“The venue leader at the fitness center is unresponsive to email/phone calls.”

Anticipate barriers better next time“I will think ahead about promoting the

campaign and ask all school venue leaders about upcoming events.”

Cater to his/her strengths in the future“She works at the fitness center during

set hours, so I can use site visits to talk.”

STOP

Take a moment to think about your next steps.

Check in with venues to ensure maintenance of the campaign

Strengthen the campaign

Promote the campaign

Sustainability ACTION STEP #1: Draft a yearly plan.

PLAN

Sustainability ACTION STEP #1: Draft a yearly plan.

20 days

22 days

“Heart Day” 5K race @ community center

Back-to-school in-service@ elementary school

Community center closed (renovations)

Maintain the campaign:

“I will complete a site visit at each venue once each month.”

20 daysCreate S.M.A.R.T. goals to maintain, strengthen, and promote the campaign: • Specific • Measurable • Achievable • Relevant • Time-bound

“Heart Day” 5K race @ community center

Back-to-school in-service@ elementary schoolStrengthen the campaign:

“I will facilitate a meeting between the community center and the elementary school by September 1st so that the community center may support International Walk To School Day in October.”

Create S.M.A.R.T. goals to maintain, strengthen, and promote the campaign: • Specific • Measurable • Achievable • Relevant • Time-bound

Sustainability ACTION STEP #1: Draft a yearly plan.

Sustainability ACTION STEP #1: Draft a yearly plan.

ACT

Sustainability ACTION STEP #3: 1) Act on your yearly plan, revising it as necessary.2) Utilize the Clearinghouse Technical Assistance &

Coaching Support 5210@psu.edu

Take-Aways

campaign

• Training• Resources• Tools• Implement• Evaluate• Sustain

WWW.5210.HEALTHYMILITARYCHILDREN.PSU.EDU

THANK YOU!

Jennifer DiNallo, Ph.D.jmd422@psu.edu

Evaluation and Continuing Education Credits

To receive CPEU credits, please complete the evaluation and post-test found at: https://vte.co1.qualtrics.com/SE/?SID=SV_bwkvhzQQc2nSdrn

Available until September 22, 2016. The applicability of information presented today may change with new research or policies after this time.

MFLN Nutrition and Wellness Upcoming Event

• Eating Right When Eating Out: How calories on the menu can guide healthy choices• Date: October 20, 2015• Time: 11:00am Eastern• Location:

https://learn.extension.org/events/2247For more information on MFLN Nutrition & Wellness go to: http://blogs.extension.org/militaryfamilies/nutrition-and-wellness/

Find all upcoming and recorded webinars covering:

Personal FinanceMilitary Caregiving

Family Development

Family TransitionsNetwork Literacy

Nutrition & WellnessCommunity Capacity Building

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Readiness Policy, U.S. Department of Defense under Award Numbers 2010-48869-20685, 2012-48755-20306, and 2014-48770-22587.

www.extension.org/62581