Final Report

Running Head: FINAL REPORT 1

Health Promotion Project in Program Planning

Childhood Obesity in ages 5-12 in 75215

Samantha Dunn, Sydney Hill, Hatice Kuzu, and Abigayle Martinez

Health Studies 3073.50: Program Planning

Summer 2015

August 6, 2015

FINAL REPORT 2Priority Population

Demographics. Dallas is ranked the second largest city in Texas. The county covers over

879.6 square miles with 2,760 population per square mile with a total population of 2,427,813

(Texas Department of State Health Services, 2015). Table 1.1 in Appendix A shows the largest

age group is the 25-29 years of age for both female and males. According to the 2010 United

States Census Bureau (2015b), the average age for men is 31.6 and women 33.4. Within a

household, a family setting is the largest group at 65.4% and lowest setting is male with children

with no wife or mother present at 9.1%. This could explain why the owner-occupied housing

units is the highest percentage in housing tenures with 53.2% and renter-occupied housing units

at 46.8%, when compared to overall population percentages (United States Census Bureau,

2015). Dallas has a wide variety of ethnic backgrounds. The top three are White (53.5%),

Hispanic (38.3%), and African American (22.3%). (Refer to figure 1.1 below) This data stays

true on the state and national level. The demographics in Texas rank white (44.0%), Hispanic

(38.4%), and African American (12.4%) (United States Census Bureau, 2015b).

Figure 1.1: Race demographics for Dallas County

White

Africa

n American

Asian

Native Hawaiia

n/ other p

acific i

slander

Hispanic

American In

dian0.00%

20.00%40.00%60.00%

Race

Source: United States Census Bureau (2015a)

FINAL REPORT 3Dallas County had a 3.9% job growth increase in 2015, the fastest job growth in Texas (refer to

figure 1.2 in Appendix B). Job increases were found in hospitality, business professionals, health,

education, transportation and utilities (United States Department of Labor, 2015).

The leading cause of death for Dallas County is heart disease followed by all types of cancers

(refer to Table 1.2 in Appendix C). Overall, Dallas has a health ranking of 122 out of 237 when

compared to other counties in the state. Dallas has a life expectancy of age 68 (Robert Wood

Johnson Foundation Program, 2015).

At a 77% high school graduating rate, Dallas has the lowest rate compared to other

counties in the state (Town Charts, 2015). But according to the Dallas Independent School

District (2015), it’s the nation’s fastest improving school district. The district has 160,000

students within 224 schools. The School for the Talented and Gifted and Yvonne A. Ewell

Townview Center’s school of Science and Engineering are the top two rated schools within the

district. In the advanced placement exams students are scoring a 3 or above, which is an increase

in the last 6 years. Since 2008, 14 new schools have been built and a majority of schools have

been renovated (Dallas Independent School District, 2015).

FINAL REPORT 4Figure 1.3: Education level for Dallas County

Source: Town Charts (2015)

Key Health Issue

Following some of the demographic finds in Dallas County, the health issue that has been

chosen as the main focus of the program is childhood obesity ages 5-12. Overweight in

childhood is defined as, “…a BMI at or above the 85th percentile and below the 95th percentile for

children and teens of the same age and sex. Obesity is defined as a BMI at or above the 95th

percentile for children and teens of the same age and sex” (Centers for Disease Control and

Prevention [CDC], 2015). Due to the changes children go through as they grow, the BMI is

based on age and sex and in comparison to children of the same age and sex (CDC, 2015). The

program aims to attempt to change the demographics in relation to this issue, while addressing

underlying issues and causes relating to childhood obesity in Dallas County. For example, the

intention is to target unique and various factors that encourage and contribute to childhood

obesity. In doing so, children can learn how to adopt healthier lifestyles and habits to influence a

FINAL REPORT 5change in the area’s demographics, by becoming a healthier weight and increasing their overall

well-being. Childhood obesity has become a top priority due to the rising figures of obesity in

children. The CDC found that the prevalence of obesity in children is 17% in the United States,

15.7% in Texas, and 36% of children in Dallas County (CDC, 2013; Landers, 2012). In addition

to the prevalence of childhood obesity, research has shown a correlation between income and

health and this further justifies the need to address childhood obesity in the 75215 zip code. The

socioeconomic status of Dallas County is ranked 191 out of the 254 counties in Texas (National

Institute for Children’s Healthcare Quality [NICHQ], 2010). This puts the children and their

health, in this area, at a disadvantage. The CDC found that, "….obesity prevalence was the

highest among children in families with an income-to-poverty ratio of 100% or less, household

income that is at or below the poverty threshold” (CDC, 2012). The cost per child due to lifetime

medical costs is an estimated $19,000 (Duke Global Health Institute, 2014). In order to prevent

chronic health problems in adulthood, it is important to address the health and habits of children

at a young age. Research has shown that implementing health promotion interventions early in

life, “…can help young children establish healthy eating and activity habits during a

developmental phase that is especially important for habit formation [because] habits acquired

early can track into adulthood” (Reynolds, Cotwright, Polhamus, Gertel-Rosenberg, & Chang,

2014, p. 1). After analyzing the research and demographics in Dallas, the program has decided

to narrow its focus to children age 5-12 located in a low income neighborhood in South Dallas,

zip code 75215.

Healthy People 2020. Over the past 30 years, childhood obesity has more than doubled

in the United States (CDC, 2014). It stems a multitude of health concerns. Obese children are

have an increased risk of type 2 diabetes, impaired glucose tolerance, high cholesterol and high

FINAL REPORT 6blood pressure (CDC, 2012). As mentioned earlier, addressing these issues early in life can help

nourish a healthy lifestyle into adulthood. The Healthy People 2020 mentions that in order to

decrease the overall prevalence of obesity, initiatives need to be taken to decrease the prevalence

in childhood obesity. Healthy People 2020 also works around the thought that when children are

obese, “…they are also likely to stay overweight or obese into adulthood” (United States

Department of Health and Human Services [HHS], Healthy People 2020, 2015). Additionally,

childhood obesity puts them at a greater risk of health problems and serious chronic diseases as

adults (HHS, Healthy People 2020, 2015). The likelihood of high cholesterol and high blood

pressure puts obese children at risk for cardiovascular disease (CVD). For example, research

found that 70% of obese children already had at least one risk factor for CVD and 39% of obese

children had two or more risk factors (CDC, 2012).

Obese children are more likely to have joint, bone, and breathing problems such as

asthma (NIH, 2011). If left untreated, obese children are likely to be obese adults. Adult obesity

is associated with a number of serious health conditions including diabetes, stroke, heart disease,

and some cancers (CDC, 2012). Childhood obesity also has a psychological and social effect. It

can cause poor self-esteem, school bullying, social stigma, emotional eating, depression, and

discrimination. These concerns are on a personal and psychosocial level, which can cause serious

psychological stress.

Community Partner

In order to help establish a program within Dallas County, to help promote the

importance of a healthier lifestyle with the goal of preventing childhood obesity, a partnership

should be made to produce more significant results within the priority population. The

community partner chosen was an organization called The Dallas Area Coalition to Prevent

FINAL REPORT 7Childhood Obesity. This organization aims to “promote healthy lifestyles in Dallas area children

through physical activity and nutrition (Community Council of Greater Dallas [CCGD], n.d.-a).

The program works to “encourage children and families to adopt the daily behaviors in the 5-4-

3-2-1 Go!® Program” (CCGD, n.d.-a). The person to contact would be Sonia White. Mrs. White

is the Associate Executive Director for Coalitions and Planning. She can be reached by email at

[email protected] or by telephone at 214-954-4212 (CCGD, n.d.-a). This organization seemed

ideal to partner with because they address a similar health issue and can strengthen the programs

initiatives due to their experience and knowledge on the issue in this specific area. Furthermore,

this organization partners up with many different organizations which can provide a greater

number of resources and knowledge base to build a successful program and initiatives. This

partnership will assist in creating a program that targets enhancing the quality of life of those

affected by childhood obesity within Dallas County, zip code 75215.

The Dallas Area Coalition to Prevent Childhood Obesity is one of the multiple health

initiatives the Community Council of Greater Dallas (CCGD) implements throughout the county.

The mission of the CCGD is to serve the community by providing leadership in the following

areas: “determining priority issues solutions in the human services arena, convening partners to

significantly impact service delivery, and increasing awareness of and access to services (CCGD,

n.d.-c)”. They are located in Dallas, Texas 75247 within the Mocking Bird Towers at 1341 W.

Mockingbird Lane, Suite 1000W. The organization can be reached by telephone at 214-871-5065

(CCGD, n.d.-b).

Based on the literature, it is important that one “gain the support of key people in order to

obtain the necessary resources to ensure that the planning process and the eventual

implementation proceed as smoothly as possible” (McKenzie & Neiger, 2013, pg. 19). In order

FINAL REPORT 8to gain the support of high level individuals, such as the CCGD, it is critical to promote the need

for the establishment of a program that enhances the quality of life of those affected by

childhood obesity within Dallas County. This can be done by creating a program rationale. The

Dallas Area Coalition to Prevent Childhood Obesity is seen as an ideal organization to partner

with due to the success of their prior programs, implemented by the CCGD. The first initiative,

Vickery is Active, began in 2007 and this was their first effort for preventing childhood obesity.

The program included walking groups, walking paths, cycling clubs, and extracurricular fitness

(CCGD, n.d.-d). This initiative is located close to the target zip code, 75215, which makes the

Coalition's an ideal community partner because of their knowledge and experience with the area.

Key Leaders and Supporters

A key leader/stakeholder is described as “any person or organization with vested interest

in a health program, usually decision makers, program partners, or clients” (Mckenzie, Neiger,

and Thackeray, 2013, p. 12). In order for a program to be successful, key leaders and their

specific skills should be identified and utilized. Furthermore, individuals in the priority

population need to be interviewed in order to gain a greater understanding of how to better

influence this community. These steps provide a stable foundation to build a strong program to

help decrease childhood obesity within the 75215 zip code.

Key Leader Interviews. One individual that the program identified as a stakeholder is an

employee in the City of Garland’s Public & Media Relations Department. Her name is Tralana

Pollard and her email interview can be found under Appendix D. She is passionate about helping

not only those in her community but educating those all over the metroplex about healthy

lifestyles. Although this part of Dallas County is farther from the priority population, Ms. Pollard

works with the City of Garland to provide insight to other city leaders into possible wellness

FINAL REPORT 9needs in those communities. As stated earlier, South Dallas, specifically 75215, is burdened by

unhealthy lifestyles and its negative effects. For this reason, leaders have an important job to

help change those negative behaviors and, in turn, provide healthy environments for children to

learn how to live a healthy lifestyle, free from chronic diseases. For the last 20 years, Ms. Pollard

has participated and contributed to the Summer Nutrition Program (SNP) offered every year by

the City of Garland. This program, “…provides free, nutritious meals to children who may not

have a balanced meal otherwise” (T. Pollard, personal communication, June 23, 2015). In

addition to educating on a balanced diet, the program focuses on physical activity. They

accomplish this by, “…coordinating games, learning activities, and group projects to encompass

the ‘physical activity’ aspect of wellness” (T. Pollard, personal communication, June 23, 2015).

The SNP is a great tool for the community members and can be expanded to the priority

population identified in South Dallas. The SNP already has several meal sites in Garland with a

few in Rowlett. By coordinating with the leaders associated with the SNP, meal sites can be

created in the 75215 neighborhood and entire families can participate in these free programs. In

addition to providing a family friendly atmosphere, all members of the family can learn ways to

alter their quality of life by engaging in healthy behaviors. As Ms. Pollard mentioned, children

adopt unhealthy lifestyles because they have grown up around family members that set negative

examples. “A child’s early years should not have to begin with unnecessary struggles from

learned behavior” (T. Pollard, personal communication, June 23, 2015).

Sonia White has also been chosen as a valid stakeholder due to her position within the

Dallas Area Coalition to Prevent Childhood Obesity. An over-the-phone interview was

conducted with Sonia White. The questions asked to her during the interview were the same as

those asked in Appendix D. Mrs. White is the Associate Executive Director of Coalition and

FINAL REPORT 10Planning. As the Associate Executive Director, she represents the Community Council of Greater

Dallas in various coalitions across the metroplex of Dallas, Texas. She oversees the membership

and communication of all members. It is her job to arrange for any guest speakers, and she also

oversees federal grants for children’s health and health outcomes. When asked about the

importance of childhood obesity for children ages 5-12 within zip code 75215, Mrs. White stated

that there was a “very high concern” (S. White, personal communication, June 24, 2015). She

mentioned that Dallas has one of the highest rates of childhood obesity within the state of Texas.

She feels that in order for change to be implemented for the better, health organizations need to

be on the same page regarding childhood obesity. A great example that she spoke of was how

health educators came together to reduce the rates of smoking. Mrs. White stated that once upon

a time smoking was socially acceptable; however, it has slowly become less and less of the norm

thanks to everyone working together to educate individuals about the deadly effects of smoking.

Mrs. White was asked, “in what way(s) would you be able to partner with us in offering a health

education/ promotion program that addresses childhood obesity for children ages 5-12 within zip

code 75215?” Mrs. White shared that the Dallas Area Coalition to Prevent Childhood Obesity is

a product of the Community Council of Greater Dallas (CCGD). The way they are structured is

to act as a sounding board that gathers collectively to exchange knowledge regarding

programming. The CCGD does not directly help implement a program; instead, its members help

by providing knowledge and support. Mrs. White mentioned that a great place for one to present

their program would be at the Get Kids Fit. This is an annual function held to showcase what

individuals and organizations are doing to help prevent childhood obesity. It also serves to help

educate parents and their children. Mrs. White suggested that one can use this as an opportunity

to present their program, run a booth, or solely volunteer their time. Mrs. White additionally

FINAL REPORT 11added to the interview that in order for change to be implemented in eradicating childhood

obesity, one must understand that obesity tends to be generational. It affects not only a child, but

their parents, grandparents, and so forth. One must address obesity as a family issue to help the

generations to come. This can be done by teaching families the benefits that come from home

cooked meals. (S. White, personal communication, June 24, 2015).

Priority Population Interviews. In addition to coordinating with key leaders to better

this program, members of the priority population were also interviewed in order to gain a better

understanding of how to support individuals in the community. This gives the program

information on ways to best educate families on behaviors that contribute to or prevent childhood

obesity. Parents and elementary school teachers were interviews to provide insight on the needs

and views of the priority population because it is unrealistic to interview and address 5-12 year

olds personally. These are a few of the adults that play prominent roles in these children’s

everyday lives and can help in making healthy changes.

An interview conducted with the priority population was with an elementary teacher in

this low income neighborhood (Appendix E). Natalie Johnson has observed first-hand the

negative effects that accompany the unhealthy lifestyles learned by these children. Ms. Johnson

explained that, “…children are not getting the proper nutrition and are developing health

problems, which could be anything from being sick frequently to diabetes” (N. Johnson, personal

communication, June 24, 2015). She emphasized the lack of resources these families have

because of their financial status. Unfortunately, many are low income and face the issues that

come with poverty (N. Johnson, personal communication, June 24, 2015).

Research has shown that zip code 75215 in Dallas County is burdened with food deserts

and job deserts. The United States Department of Agriculture (USDA) defines a food desert as:

FINAL REPORT 12Food deserts are defined as urban neighborhoods and rural towns without ready access to

fresh, healthy, and affordable food. Instead of supermarkets and grocery stores, these

communities may have no food access or are served only by fast food restaurants and

convenience stores that offer few healthy, affordable food options. The lack of access

contributes to a poor diet and can lead to higher levels of obesity and other diet-related

diseases, such as diabetes and heart disease (United States Department of Agriculture

[USDA], n.d., para 1).

A map is provided in Appendix F, showing the zip code of the priority population and the

job and food deserts surrounding them. This map represents information collected by the USDA.

The map shows the low income and low access to grocery stores surrounding the 75215 zip

code. This could explain why families engage in negative behaviors, because it is easier to stop

by a fast food restaurant or convenience store for dinner than a grocery store that is farther away.

This behavior is then learned by the children because they do not know any other way. This

validates the need for an educational program in this neighborhood and to provide resources,

such as increased access to healthier, fresh foods, that these families may not be able to provide

themselves.

A telephone interview was also conducted with Belinda De La Cruz, a parent of a

potential program participant. The questions asked during the interview are the same as those

located in Appendix E. She has lived within the zip code 75215 for 27 years. When asked about

the importance of childhood obesity within her community, she mentioned that it is very

important because of the medical and social issues that childhood obesity can cause. No other

health issues could come to mind when asked which other health issues she felt were important.

She has participated in other community health programs because she feels that the health of her

FINAL REPORT 13children is important and does everything she can to ensure good health for her children. Mrs. De

La Cruz believes that cost, convenience of time/location, and frequency of the program may be a

barrier that prevents community members from participating; however, incentives such as

multiple time slots, informative brochures regarding the event, and convenient locations may be

used to encourage participation. Both Ms. Johnson and Mrs. De La Cruz mentioned that cost,

convenience, and a lack of resources act as barriers to the members of this community. This

provides an insight to steps that need to be taken to ensure more individuals and families are

capable of attending the various family-friendly health events the program may put on.

Considering that the program will target children ages 5-12 within zip code 75215, Mrs.

De La Cruz feels that late afternoon (5-7pm) or weekends would be the best times to hold the

program, so that both children and their parents can attend. She feels that participants should

receive individual attention to create a bond with the administrators and then move into small

group sessions. When asked about who she believed should deliver the program, Mrs. De La

Cruz stated that an individual that directly works with children living with obesity would be

ideal; perhaps a pediatric doctor or a nutritionist. She would also like to hear different

testimonials for children and their parents. This could provide others with a sense of assurance

that they are not alone on this path to a better quality of life. Mrs. De La Cruz also felt that it

would be difficult to have the whole family attend the program. She stated that she and many

women she knows would have trouble bringing along their husbands. Mrs. De La Cruz feels that

along with social media, flyers, and word of mouth, an article in Dallas Child would be a great

way to market the program. She had no additional feedback to add to the interview (B. De La

Cruz, personal communication, June 24, 2015).

FINAL REPORT 14Other Public/Private Supporters. Childhood obesity has a significant impact on a

child's physical and emotional well-being. An alarming number of children in the Dallas area are

overweight and at risk for numerous health concerns. The Mayor's Youth Fitness Initiative

[MyFi] is a program that involves the collaboration between public and private organizations in

Dallas County. MyFi is led by the City of Dallas Mayor Mike Rawlings and Dallas community

leaders. The community leaders include the CEOs of many companies like Oncor, Baylor Health

Care System, Texas Health Resources, Luke’s Locker, the Dallas Mavericks, and many others in

Dallas (Mayor's Youth Fitness Initiative [MyFi], 2013, para. 1).  MyFi is the first program to

unite government leaders with local leaders in order to design and implement an active lifestyle

and healthy eating. MyFi’s mission statement is to "mobilize the Dallas community to take

coordinated action to improve youth health and fitness by improving the physical and mental

health of children across Dallas, reduce the economic impact of health care burden, and to create

sustainable opportunities for families to learn a new, healthier way of life" (MyFi, 2013, para.

2).   

One aspect that sets this program aside from other private/public organizations, which

relate to this health concern, is their commitment to ongoing assessment. MyFi utilizes a

consistent measurement tool to chart each participant’s progress. This allows the participant's to

view their success and allows an individualized plan for every child. Participants in the MyFi

program learn how to make good choices and practice good eating habits on a daily basis. They

are educated on proper nutrition and the importance of getting active. Another aspect that sets

MyFi aside from others is its collaboration with organizations that share the same mission. One

of their partnerships is with the Dallas Park and Recreation Department. Dallas Park and

Recreation Department has more than 18,000 children enrolled and 43 centers. MyFi's goal is to

FINAL REPORT 15"create a culture in Dallas of well-being where, every day, children and their parents are

physically active, eating right and feeling better" (MyFi, 2013).

Mission Statement, Goals, & Objectives

The mission of the Childhood Obesity Foundation is to provide information and tools to

the children and families within the zip code 75215 to prevent and control obesity in children

ages 5-12. The goal of this program is to reduce and prevent childhood obesity in zip code

75215. The objectives the program include a process objective, an impact objective, and an

outcome objective. The process objective is that after the first six months, information regarding

one’s health status (eating habits and activity levels) will be gathered from 75% of the target

population through surveys given out by health professionals to the parents of children within zip

code 75215. It will be used to assess and provide the needed programing. The impact objective is

that after the following 6 months, 75% of children ages 5-12 within zip code 75215 will be able

to identify at least three healthy behaviors they and their family can engage in to decrease their

risk of chronic illnesses. The outcome objective is that by the end of the year, 50% of the

individuals living in the 75215 zip code have begun to engage in one new healthy behavior such

as eating their daily recommended amount of fruits and vegetables.

Intervention

Transtheoretical Model. A successful program has a sound model guiding the various

processes and intervention strategies. This program has chosen the transtheoretical model as a

reference point in the planning process. This model is defined as, “…an integrative framework

for understanding how individuals and populations progress toward adopting and maintaining

health behavior change for optimal health” (McKenzie, Neiger, & Thackeray, 2013, p. 181). This

couples very well with the ultimate mission and goals of this program because the program

FINAL REPORT 16addresses behaviors on various levels of change depending on the individual. The intention is to

address childhood obesity by gaining an understanding of the unique individuals and families in

the community and how to motivate the adoption of healthier behaviors. Furthermore, programs

apply multiple interventions and activities to better influence the population. These activities are

focused on the different levels of change individuals find themselves. The transtheoretical model

provides stages of change for the health educators to follow as they move through this process

with the priority population.

        The stages of change described in the transtheoretical model begin with the

precontemplation stage, where individuals have no intention of making a change (McKenzie,

Neiger, & Thackeray, 2013, p. 181). The model provides constructs that can be paired with each

step. For example, in order for a program to move an individual from the precontemplation stage

to contemplation, awareness of the health issue should be brought to the individual’s attention.

This can be done through consciousness raising, which can inform and lead the individual to

assessing the decisional balance of the behavior change. As the individual evaluates the pros and

cons of adopting a healthier behavior, the self-efficacy construct can act as a pro in the decisional

balance and a motivating factor as the individual decides they can perform this behavior with

confidence. As stated earlier, there are multiple constructs within this model and many of them

can be applied to a variety of the stages of change.

        This model is built around the understanding that change does not happen

overnight (McKenzie, Neiger, & Thackeray, 2013, p. 181). The key concepts of this model

support this program as it assists the priority population through the stages of change to engage

in a healthy behavior.

FINAL REPORT 17Fit of Goals & Objectives. The program’s goals and objectives fit in with the planned

interventions because they correlate with the variety of individuals in the priority population to

help reach the objectives and ultimately the goal. The intervention addresses, “...the needs and

capacities of the people found in the different settings” (McKenzie, Neiger, & Thackeray, 2013,

p. 244). This is accomplished by reviewing the questionnaires in which the priority population

answers and in turn, informs the health educators about their level of knowledge, who they are,

their personality and beliefs, the environment they live in, etc. This accomplishes the process

objective of gathering information. Understanding the individuals and the different factors of

their lives and environment further assists the program in providing a positive atmosphere that

supports change in the priority population. Once the interventions are tailored, within the

program’s capability, to the various individuals and their learning styles, the objectives and goals

have a better probability of being reached. The interventions are based on the, “...context in

which the change will take place” (McKenzie, Neiger, & Thackeray, 2013, p. 244).

Level of Prevention. Furthermore, the information gathered from the priority population

will help decipher the individuals that need interventions aimed at primary, secondary, or tertiary

levels of prevention. For example, the program will intervene at the primary level with families

that are at risk for diabetes or other complications associated with weight gain. A primary level

of prevention for that disease free family may include setting a goal of turning off the television

and suggest eating all meals as a family. This shows stimulus control, or “…removing reminders

or cues to engage in the unhealthy behavior and/or adding reminders to engage in the healthy

behavior” (McKenzie, Neiger, & Thackeray, 2013, p. 182). This stimulus control is one of the

processes of change of the transtheoretical model and helps eliminate an aspect of sedentary

lifestyles while providing communication and support among the family members. On the other

FINAL REPORT 18hand, a family with a history of diabetes that eats out most nights of the week will begin with a

different goal. A goal for this family may include preparing meals 3 days a week and then to

gradually increase this number. This goal could be secondary by helping, “...prevent more severe

pathogenesis…” or tertiary level by suggesting, “...preventive measures aimed at

rehabilitation…” (McKenzie, Neiger, & Thackeray, 2013, p. 6). This uses the

counterconditioning process of change of the transtheoretical model by substituting a healthy

alternative of home prepared meals for the unhealthy behavior, eating fast food most nights a

week.

Level of Influence. Multiple levels of influence will be utilized for the interventions

because, “...there is a greater chance of changing and maintaining health behaviors if

interventions are aimed at multiple levels of influence…” (McKenzie, Neiger, & Thackeray,

2013, p. 244). Intrapersonal level of influence will be used to address an individual’s specific

level of knowledge, self-concept, motivation, and skills as a few examples. Interpersonal level

can include their family, friends, and support group. The intrapersonal and interpersonal levels

include the predisposing and reinforcing factors that are the driving force for a behavior or lack

of a behavior. Additionally, promoting a healthier lifestyle for the whole family enables them on

an individual level to have a stronger support system by motivating each other. This helps the

individual reach the social liberation process of change by, “...realizing that social norms are

changing in the direction of supporting the healthy behavior change” (McKenzie, Neiger, &

Thackeray, 2013, p. 182). Additionally, community factors on a community level will be a

primary focus of the program by providing support from social networks, classmates, teachers,

and the other families in the priority population.

FINAL REPORT 19Effective Intervention Strategies. Interventions that have shown to be effective include

behavioral interventions, which target eliminating unhealthy behaviors and encouraging the

individual to adopt a healthy behavior. Behavioral intervention reduces sedentary lifestyles,

which so many children have come accustomed. The Community Preventive Services Task

Force recommends the use of behavioral intervention to help reduce the amount of time children

ages 13 years and younger spend sedentary in front of a television/monitor screen (Guide to

Community Preventive Services, 2014). This is an example of a best practice intervention

strategy which includes many of the same aspects for the program’s initiatives in the 75215 zip

code. For example, the recommended intervention includes classroom education, monitoring

system, coaching or counseling sessions, and family or peer social support (Guide to Community

Preventive Services, 2014). This intervention aimed for a more active and overall healthier

lifestyle and the evidence showed it to be effective for weight-related outcomes and reducing

sedentary behaviors while adopting healthier diets and a more active lifestyle (Guide to

Community Preventive Services, 2014).

A behavioral intervention similar to the one in the previous study has been conducted in

Dallas County and shown effective for the target population of 75215. The Get Kidz Fit health

fairs is the largest fitness event that occurs in Dallas. It’s free to families and has over 50 fitness

and nutrition activities from sporting games, interactive booths, entertainment, prizes and so

much more (Puente, 2015). There are over 140 organization that are involved with the health

fair. One of them being the Dallas Mayor’s Youth Fitness Initiative (MyFi). The fair has seen

long-term improvements with the way Dallas children play, eat, and live (Puente, 2015).  

Fit of Intervention. The interventions fit the priority population because specific steps

have been taken to tailor and segment the population to better fit their needs and unique

FINAL REPORT 20characteristics. As stated earlier, individuals were segmented into groups based on their

knowledge, availability, resources, and many other characteristics. This allows for the health

educator to tailor the activities to fit their personal lifestyle. The levels of prevention, previously

discussed, was one way the program segmented the population by their unique needs and

characteristics to better influence them in adopting a healthier lifestyle.

Resources. There are many resources available for the program to use. A few resources

include teachers, school faculty, and nurses from the local elementary schools who want to see

the growth and well-being of the children in the target population. These individuals will be

recruited as volunteers and rotated each month, as to not be overworked. Utilizing the local

elementary school building for health fairs and activities would also act as a great resource,

providing a convenient location and eliminating cost to the families. MyFi is another valuable

tool for Dallas County, created by Mayor Mike Rawlings in 2010, to help improve the mental

and physical health of children and create opportunities for families to learn a healthier way of

life together. The program unites already existing Dallas youth programs, educators,

stakeholders, and businesses to come together and coordinate fitness and health initiatives for

Dallas County (MyFi Dallas Mayor’s Youth Initiative, 2015). The resources will be further

explained in subsequent sections.

Multiple strategy approach. The Dallas program, specifically in zip code 75215, will

consist of multiple strategies. It will be a more effective intervention because it will

communicate the health message on multiple levels of influence by reaching children at school

and the various events offered to the local families. It will provide a variety of learning

techniques, including presentations, open discussions, physical activity, and introducing new

foods. The program intends on presenting the health message through a number of various

FINAL REPORT 21channels and appealing to the different learning styles, interests, and senses of the priority

population (McKenzie, Neiger, & Thackeray, 2013, p. 248). Utilizing multiple strategies

increases the chances of reaching the goals and objectives to ultimately promote a healthy

change, in order to prevent and control childhood obesity in zip code 75215.

Marketing, Motivation, & Retention

To promote childhood obesity awareness and prevention, two tools will be utilized, the

school system and the media. Utilizing the school system is an excellent way to educate and

engage the residents in childhood obesity. For example, organizing health fairs at local

elementary schools will have a higher attendance rate from the residents compared to other

locations due to the familiarity and the convenience. Mrs. De La Cruz, one of the individuals

interviewed from the priority population, believed that cost and convenience of location were

both potential barriers for the program (B. De La Cruz, personal communication, June 24, 2015).

Holding the events at the local schools provides a convenient location that is free of cost for the

families. The health fairs will educate and engage the parents or caretakers of children ages 5-12

through a number of activities. As mentioned earlier in an interview with an elementary school

teacher, Ms. Johnson emphasized her concern about the lack of resources the families in the area

had because of the low income neighborhood (N. Johnson, personal communication, June 24,

2015). This offers a free event for the whole family to enjoy together.

The first activity that will take place in order to assess the health status, diet, and level of

physical activity of the children is through a simple questionnaire. This is to gain a better

understanding of the targeted population's lifestyle as well as to show the parents or caregivers

the areas in need of improvement. Various educational activities will be used during the health

fairs, including power points, guest speakers, videos, and group discussions. Various engaging

FINAL REPORT 22activities will also be held during the health fairs, a few being: healthy cooking classes, games,

fitness, and sports. Since individuals respond through different means of learning techniques,

marketing strategies will be presented through numerous channels to successfully reach the

segmented population. As mentioned earlier, segmenting allows the program, “…to meet the

specific needs and desires of the priority population…” (McKenzie, Neiger, & Thackeray, 2013,

p. 317). Parents or caregivers will receive a calendar with all the events listed through each

month and weekly flyers as a reminder of upcoming events. Health fair information will also be

included on the school's website.

Utilizing the media will work in favor for those who cannot attend the health fairs. The

media will focus more on the educational factors rather than engaging. The Dallas Morning

News is widely read by many of the residents in Dallas County, and this would be an excellent

method of communicating the message on childhood obesity awareness and prevention (Dallas

Morning News, Inc., 2015). A Facebook page and/or blog will be created for the residents of zip

code 75215, and be advertised through flyers sent home from school. These social media sites

will provide another channel to help educate the parents or caregivers on childhood obesity.

In order to motivate and help maintain participation in the childhood obesity program,

parents or caregivers will be regularly contacted and reminded of all upcoming events. Regular

contact will be through various channels including updates with school faculty, emails with a

mentor or coach, and flyers to encourage continued involvement. It is important to keep the

entire family engaged because, “…the importance of social support for behavior change and its

relationship to health are well recognized” (McKenzie, Neiger, & Thackeray, 2013, p. 239).

Additionally, participants will be given various forms of incentives for their participation

throughout the program. Items such as t-shirts, bracelets, stickers, magnets, pens, etc.  

FINAL REPORT 23Program Staff, Vendors, & Partners

To ensure a successful program, a combination of internal and external personnel will be

utilized. Evidence supports that the most successful organizations use this method (McKenzie,

Neiger, & Thackeray, 2013). Internal personnel is the utilization of individual people within the

organization or within the priority population to supply the necessary labor. These individuals

will possess the knowledge and skills necessary to help carry out the program (McKenzie,

Neiger, & Thackeray, 2013, p. 282). Internal personnel that will be utilized are health educators,

school nurses, nutritionists, physical education instructors, administrative assistants, and

volunteers, such as parent-teacher association members. The program has established a set of

requirements and qualifications for the use of internal personnel. These can be found in

Appendix A.

External personnel are individual people outside the organization or outside the priority

population that are needed to conduct all or part of the program (McKenzie, Neiger, &

Thackeray, 2013, p. 284). An external personnel discussed was to request an expert speaker from

a health agency or hospital. In order to find a guest speaker outside the program, the speaker’s

bureau will be utilized. Vendors will also be needed to supply the program incentives: t-shirts,

bracelets, stickers, magnets, pens, etc.  For this, multiple outside vendors will be contacted to

find the best prices, although many organizations have expert speakers available for no cost. This

is because the organizations and speakers have advantages to gain as well, such as recognition

and good public relations (McKenzie, Neiger, & Thackeray, 2013, p. 285). In order to eliminate

program cost, a thorough search will be conducted through means of networking to find an

expert speaker willing to donate their time and knowledge.

FINAL REPORT 24The program plans to partner with the Dallas Area Coalition to Prevent Childhood

Obesity. Sonia White is a staff member that this program could utilize and take advantage of her

knowledge and skills. She is the associate executive director and will make a great addition to

the team, perhaps as a program director. The collaboration with this organization will bring

together, “…people with complementary skills who are committed to a common purpose, a set of

performance goals, and an approach for which they hold themselves mutually accountable”

(McKenzie, Neiger, & Thackeray, 2013, p. 289). This will ensure the progression towards the

program’s ultimate goal, to reduce and prevent obesity among children ages 5-12, in the 75215

zip code.

Facilities, Instructional Resources, and Equipment & Supplies

Facilities. In order to ensure a convenient location for our priority population, our

program will rotate out the six elementary schools located within zip code 75215. The main areas

that will be utilized within each school is the cafeteria, the school’s gym, the auditorium, and the

outside area of the school. The cafeterias will be used for the cooking class portion of the

program. The gyms and outside play areas will be utilized to provide a space for the physical

activities portion of the program. The auditoriums will be utilized to provide a space for the

guest speakers and presentations. The six elementary schools that our program will rotate

through are listed below.

FINAL REPORT 25Table: 1.3 Facilities Used by Program

TelephoneLocationSchool

214-241-3645

972-749-1300

972-502-8100

972-502-8900

972-794-7600

972-749-1100

3732 Myrtle St Dallas,Tx 75215

2908 Metropolitan Ave Dallas, TX 75215

1817 Warren Ave Dallas, Tx 75215

5700 Bexar St Dallas, TX 75215

2425 Pine St Dallas, TX 75215

1738 Gano St Dallas, TX 75215

Charles Rice Learning Center

St Anthony Academy

Phillis Wheatley Elementary School

Martin Luther King Junior Learning Center

H S Thompson Learning Center

City Park Elementary School

Instructional Resources. Instructional resources will include surveys, questionnaires,

and informational packets. Surveys and questionnaires will be utilized to measure the

knowledge, dietary habits, and levels of physical activity of the priority population.

Informational packets will be used to inform children and their parents of the detrimental effects

that childhood obesity can have on one’s health, social status, and physiological status.

Information on how to live a happier and healthier lifestyle will also be handed out.

Equipment and Supplies. Since the program will take place within elementary schools,

it is planned to utilize the equipment and supplies at hand. Seating, tables, computers,

screens/projectors, and printers/copiers will all be provided by the schools. The gym equipment

will also be utilized during specific parts of the program such as the Parents vs. Kids Relay Race.

Many vendors will supply and donate materials but any other items such as paper, pens, toner,

staples, paper clips, and USB drives will all be purchased through the budget. Specific supplies

will also be purchased according to the event being held by the program. For example, flower

FINAL REPORT 26seeds will be purchased for Gardening Lessons for Mother’s Day. All incentives will be strictly

donation to help minimize the overall cost of the program.

Program Implementation and Operation

The program will begin with enrollment during registration for the new school year and

include all 6 elementary schools within zip code 75215. Parents at this time will fill out the

program survey when enrolling children. Although enrollment will not be required for

participation, it is encouraged in order to gain more detailed information on the children and

families in the priority population. A school event flyer will be given out to parents once paper

work is completed. This will provide the parents with information about the health fair and

when it will be coming to their school. The school year registration will be a key component for

the program, as it will give a clear number of students enrolled to each elementary school and the

number of families within the school district.

During the program a total of 6 major health fairs will take place in order to reach all 6

elementary schools within the target population. Each health fair will provide an interesting and

engaging guest speaker for the community. In addition to a main health fair at each elementary

school, smaller activities will be set up each month to provide information in a family fun

setting. This implementation strategy works on the idea that change does not occur over night, as

mentioned earlier in the intervention section. The table below shows the timeline of the program

and when each health fair will take place.

Table: 1.4 Program Timeline

Tasks Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May Jun.

Assess target population

X

FINAL REPORT 27Develop program Goals and objectives

X

Assess resources and staff

X X

Implement Program

X X X X X X

Evaluate Program

X X X

Final Report X

The various events offered each month will include fun lessons and activities for the

family. Each month will offer a different theme but they will all introduce the families to new

ways to become active and eat healthy. Some activities may be as simple as offering alternatives

to the family sitting on the couch watching television at home. For example, the family is invited

to plant a flower with their moms for Mother’s Day. The program events calendar can be found

below in Table 1.2.

Table 1.5: Program Events Calendar

School A B C D E FAug. Register Register Register Register Register RegisterSept. Game night

Health FairGame night Game night Game night Game night Game night

Oct. Halloween 5k Halloween 5k / Health Fair

Halloween 5k Halloween 5k Halloween 5k Halloween 5k

Nov. Healthy holiday meals

Healthy holiday meals

Healthy holiday meals / Health Fair

Healthy holiday meals

Healthy holiday meals

Healthy holiday meals

Dec. W I N T E RJan. B R E A K !Feb. Parents vs.

kids relay race

Parents vs. kids relay race

Parents vs. kids relay race

Parents vs. kids relay race / Health Fair

Parents vs. kids relay race

Parents vs. kids relay race

FINAL REPORT 28March Picnic in the

parkPicnic in the park

Picnic in the park

Picnic in the park

Picnic in the park / Health Fair

Picnic in the park

April Food Bank speaker & activities

Food Bank speaker & activities

Food Bank speaker & activities

Food Bank speaker & activities

Food Bank speaker & activities

Food Bank speaker & activities / Health Fair

May Gardening lesson for Mother’s Day

Gardening lesson for Mother’s Day

Gardening lesson for Mother’s Day

Gardening lesson for Mother’s Day

Gardening lesson for Mother’s Day

Gardening lesson for Mother’s Day

June Field Day with Dad

Field Day with Dad

Field Day with Dad

Field Day with Dad

Field Day with Dad

Field Day with Dad

July July 4th activities

July 4th activities

July 4th activities

July 4th activities

July 4th activities

July 4th activities

Program Evaluation

A program evaluation must be conducted in order to assess the

strengths/weaknesses in the childhood obesity program. The evaluation will be conducted

through three stages: process evaluation, impact evaluation, and outcome evaluation. The

assessment will be done using questionnaires, surveys, and mini-quizzes throughout the program

to evaluate the lifestyle of the participants as well as the knowledge obtained from the

curriculum.

The process evaluation will focus on the measurement of their progress throughout the

program and their overall reaction of the program. Various forms of activities will be held at the

health fairs in order to engage and educate the families. Participants will be asked a variety of

questions throughout the program for program improvements such as:

1. If they were aware of the program

2. How did they hear about the program

3. If they heard about the program from our marketing strategies

4. If the information presented to them was useful

5. If the activities were relevant

FINAL REPORT 29The impact evaluation “measures awareness, knowledge, attitudes, skills, and behaviors”

(McKenzie, Neiger & Smeltzer, 2005). This allows a better understanding of the targeted

population’s lifestyle and the areas in need of improvement. Questionnaires, surveys, and mini-

quizzes will be given to the participants throughout the program for assessment. Some of the

questions will be to identify lifestyle factors that influence childhood obesity. Participants will

also be asked to identify some of the threats associated with childhood obesity. These forms of

data will be complied and compared to assess the effectiveness of the health fair program.

The outcome evaluation will measure the participant’s knowledge that they have retained

from the program. An outcome evaluation is a long term process that takes more time and

resources to conduct than an impact evaluation” (McKenzie, Neiger & Smeltzer, 2005). The

participants will receive an email two months after the last health fair. In the email, the

participants will be asked questions pertaining to the knowledge of childhood obesity. The

questions will assess predisposing, enabling, and reinforcing factors. Participants will also be

asked since the last health fair if they have changed any of their lifestyle.

Program Budget

Income. The funding to make this program possible will be provided by Voices for

Healthy Kids Grant and the Childhood Obesity Rapid Response Grant. Both grants have been

provided by the American Heart Association (AHA) and the Robert Wood Johnson Foundation

(RWJF). The grants add up to a total of $130,000.

Budget. A well thought out budget is important to the success and operation of a health

promotion program. In order to best utilize our budget many resources will be donated. Cost of

the program has been reduced simply by utilizing public spaces that are free of charge. Most of

FINAL REPORT 30our employees will work as needed or be volunteers. The total start-up and operating cost are

$120,450; which is a high cost estimation. Please refer to Appendix H for more detail.

FINAL REPORT 31Appendix A

Table 1.1: Population demographics for Dallas County

Source: United States Census Bureau (2015a)

FINAL REPORT 32Appendix B

Figure 1.2: Employment rate for Dallas County

Source: United States Department of Labor (2015)

FINAL REPORT 33Appendix C

Table 1.2: Mortality rate for Dallas County and Texas

Source: Texas Department of State Health Services (2015)

FINAL REPORT 34Appendix D

Stakeholder interview: Tralana Pollard

1. What is your position within the community? What are your responsibilities in this position? 

-I work in the City of Garland's Public & Media Relations Department. I've been the

Department Representative for the last three years, and I'm currently in training to become a

Public & Media Specialist. Aside from my daily administrative responsibilities, I'm also

responsible for logging and reporting all media coverage of City of Garland, content editing,

coordinating our external e-newsletter, social media, host monthly/weekly news update videos

(external), and assisting other departments in scheduling promotion of various events and

initiatives.

2. How important do you think childhood obesity is for the County?  Explain. 

-Childhood obesity is an extremely important issue, not only in our county, but in our

country. Childhood obesity can promote an unhealthy lifestyle that is learned early in life and

difficult to correct later. In the Garland community, I often see overweight children whose

parents are also overweight. It's a pattern that can only be stopped when the real issues of health

and wellness are addressed. If these parents have always carried extra weight and eaten

unhealthy, they may not see it as a lifestyle problem, even once children come into the picture.

The parents' habits become the child's habits, and the unhealthy lifestyle becomes shared in the

home. Education and example are key when discussing the prevention of childhood obesity in

the home.

3. How is your organization/agency currently addressing the health needs of childhood obesity?

-For the last 20 years, the City of Garland has participated in a Summer Nutrition

Program (SNP), which provides free, nutritious meals to children who may not have a balanced

FINAL REPORT 35meal otherwise. This program opens once school is out for the summer. While overeating and

not exercising may easily lead to child obesity, the SNP is helpful because it also

addresses a lack of balanced nutrition, which can also lead to obesity. Some of the families who

participate in SNP may have food in the home, but they may not be able to afford nutritious food,

such as fresh fruits and vegetables or lean meat. The SNP also focuses on physical activity. At

each meal site (there are several locations in Garland and a few in Rowlett), not only are there

free meals, but program volunteers also coordinate games, learning activities and group projects

to encompass the "physical activity" aspect of wellness.

4. In what way(s) would you be able to partner with us in offering a health education/promotion

program that addresses childhood obesity for Dallas County? 

-I am unsure if Dallas offers a similar program, but perhaps the leaders of Garland's

Summer Nutrition Program could offer some insight into the possible wellness needs of their

communities. What I am most proud of with our SNP program is the fact that it's an opportunity

to have an entire community in the same room, learning about the importance of living well.

Most of the participants in the SNP are low-income, so it is important that their children are

exposed to education about healthy lifestyles and positive social interactions.

5. What other community organizations/resources do you think would be helpful to us in

planning this health education/promotion program? 

-The City of Garland also has a wellness initiative, Commit to Wellness, which uses

rewards and discounts to influence healthier lifestyles for our employees. Perhaps your

organization could connect with other municipal governments and nonprofit meal programs to

collect any information/statistics that could be used to substantiate an initiative to influence

lifestyle change. The City of Garland also offers free workout classes for employees - Perhaps

FINAL REPORT 36your organization could model other group's initiatives for its employees and cater them to the

children in the community.

6. Is there anything else that you would like to add?

-Thank you for addressing this very important issue! We have overweight children in my

extended family, and it can be sad to watch them struggle as they get older because of bad

examples set by their guardians. A child's early years shouldn't have to begin with unnecessary

struggles from learned behavior. Through education and example, we can definitely turn this

around. As a country, we have to! 

FINAL REPORT 37Appendix E

Priority population interview: Natalie Johnson 

1. How long have you lived in the community?

-I have been teaching for 4 years 

2. Our program planning team is working to develop a health education/promotion program that

will address childhood obesity among 5-12 year olds. How important do you think this health

issue is for your community? Explain.

-I feel it is very important. Children are not getting the proper nutrition and are

developing health problems, which could be anything from being sick frequently to diabetes. 

3. What other health issues do you think are important to your community?

-Proper hygiene 

4. Have you every participated in a community health promotion program? Do you think you

would participate in a health program that addresses childhood obesity? Explain.

-No I have not. I would love to participate in something that you could actually use the

information and it is easy to understand and apply in their lives.

5. What barriers might prevent you and other community members from participating in this

health program?

-Time and an availability of resources for the community I work in; they are low income

families so money plays a huge roll.

6. What incentives might be used to encourage participation in this health program?

-Free food, recipes, and activities to involve the whole family 

7. What day of the week and time of day would be best to offer this health program?

-During the week after 6

FINAL REPORT 388. What would be the best location for the health program?

-A school  

9. Would you prefer individual attention or small group programs?

-Small groups  

10. Who would you prefer deliver the program?

-Someone who is relatable to that community and realistic to what low income families

can do with their resources 

11. Do you believe community members would pay to attend the health program? Explain.

-No  

12. Do you think the whole family would be interested in attending the health program? Explain.

-Yes, being healthy should involve the whole family if you want to make meaningful

changes

13. What is the best way to market the program to your community?

-Flyers, online advertisement (Facebook, Twitter etc.)

14. Is there anything else that you would like to add?

-Teaching children to like veggies and fruits and to try new things. Making it enjoyable. 

FINAL REPORT 39Appendix F

Source: USDA. (2015).

FINAL REPORT 40Appendix G

Internal Personnel Requirements:

Health Educator:

Qualifications: Bachelor’s or Master’s degree in health education or health promotion;

CHES certification; minimum 5 years of experience; self-motivated; and skilled in public

speaking.

Responsibilities: Assess individuals and community; plan effective health education

programs; implement health education programs; evaluate effectiveness of health

education programs; coordinate provision of health education services; act as a resource

person; communicate health and health education needs, concerns and resources.

Time commitment: Part-time; PRN

School Nurse:

Qualifications: Bachelor’s or Master’s of Science in Nursing; Registered Nurse;

minimum 5 years of experience; self-motivated; and skilled in public speaking.

Responsibilities: Assess individuals and family members during health events and during

school hours; assist in planning an effective health education program; coordinate

provision of health education services; act as a resource person; communicate health and

health education needs, concerns, and resources.

Time Commitment: Part-time; PRN

Nutritionist:

Qualifications: Bachelor’s or Master’s degree in nutrition; and minimum 5 year

experience

FINAL REPORT 41 Responsibilities: Perform nutritional assessments to clients, create meal plans for needed

clients; provide nutritional counseling.

Time Commitment: Part-time; PRN

Physical Education Instructor:

Qualifications: Bachelor’s or Master’s degree in physical education; teaching license; and

minimum 5 year experience

Responsibilities: Aid in development of physical ability; provide health awareness, and

instruct physical activities.

Time Commitment: Part time; PRN

Administrative Assistant:

Qualifications: High School Diploma or Equivalent; good verbal and nonverbal skills;

computer skills; organizational skills; and phone etiquettes.

Responsibilities: Perform clerical duties such as typing, filing documents and answering

phones.

Time Commitment: Part-time; PRN

Volunteers:

Qualifications: High school degree or equivalent; friendly; can follow instruction.

Responsibilities: Help assess where needed; help ensure success of program.

Time Commitment: PRN

FINAL REPORT 42Appendix H

Budget WorksheetBudget Period:

Start-Up Costs

Subtotal Total

Capital Costs

Purchase of Land acres @ $ /acre $150Facility Construction sq ft @ $ /sq ft $0Facility Renovation sq ft @ $ /sq ft $100Equipment (capital):

1. Sporting Goods (soccer balls, basket balls, etc.) $500

2. Speakers, monitors, projectors, etc. $500Total Equipment $1250

Other Start-Up CostsFacility Design $500Furnishings: 1. Tables/ Chair $0

2. Portable Speakers/Microphones $1000Total Furnishings $1500

Needs Assessment $2000Marketing Analysis $ “ “Legal Assistance $3000Materials Development $3500Staff Training $15000Other:

1. Flower Seeds $2002. Food for Cooking Class $2000

Total Other $25700

Operating Costs

Subtotal Total

Staff Salaries and Wages:1. Health Educator $15,0002. Nurse $10,0003. Nutritionist $15,000

FINAL REPORT 434. Physical Education Instructor $5,0005. Administrative Assistant $5,000

Total Staff Salaries and Wages $50000Fringe Benefits 20% x Salaries & Wages $10000Consultants/External Contractors:

1. $0Total Consultants/External Contractors $0

Facilities:Facilities Leasing $0Utilities $500Facilities Maintenance $1500

Total Facilities $2000Non-Capital Equipment – Purchased:

1. $0Total Non-Capital Equipment – Purchased $0

Non-Capital Equipment – Rental:1. $0

Total Non-Capital Equipment – Rental $Equipment Maintenance $15000

1. $Total Equipment Maintenance $15000

FINAL REPORT 44

Subtotal TotalOffice Supplies $4000Other Supplies

1. $2. $

Total Other Supplies $4000Communications (telephone, email, website, etc.) $4000Printing/Copying $4000Advertising/Promotion $4000Program Materials/Resources

1. $Total Program Materials/Resources $16000

Transportation $0Travel $0Staff Training/Development $5000Other:

1. $Total Other $5000

Subtotal $ Total $

TOTAL COST (Start-Up + Operating) $120,450

INCOME:Income Sources:1. Voices for Health Kids grant $900002. Childhood Obesity Rapid Response Grant $40000

TOTAL INCOME $130000

FINAL REPORT 45References

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