PROGRAM COORDINATOR SUPPLY LIST ALL Supplies/ Equipment Needed for Each Module Recruitment • Flyers • Brochures • Letter from Clinic and School • Flyers • Phone Scripts Session 0: Information Meeting • Informed Consent Forms -1 per family • Family Intake Form - 1 per family or on computer • Digital Platform Scale -2 • Height Stadiometer -2 • PowerPoint handout for family (Intro) - 1 per family • Download Power Point for education delivery • Fidelity Checklist Session 1: Orientation • Binder - 1 per family, Contents include: pencil bag, name tags, weigh-in sheets, program goals, habit book example, Traffic Light Eating Plan Sheets • Habit Books (1 per person) • Physical Activity Monitors - 1 per participating child • PowerPoint handout for family (Orientation) - 1 per family • Download PowerPoint for education delivery • Recipe of the Week - 1 per family • Fidelity Checklist • Download PowerPoint for education delivery • Traffic Light Eating Plan TILES - 1 per family binder* • Download PowerPoint for education delivery • BHF Habit Book Example • Short Pool Noodles -15 • Omni Balls (Small) 4-6* • Hula Hoops - As many as possible • Bean Bags- 3-5 per family • Foam Balls- 15-20 • Disc Cones- 15 * denotes in the Building Healthy Families Kit • Laminated Index Cards spelling "Let's Join" - 3 sets* • Cup* • Popsicle Sticks* • Popsicle Stick Fitness Key* Family take home items Physical Activity Lifestyle Modification Nutrition Education Program Overview BHF Session
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PROGRAM COORDINATOR SUPPLY LISTALL Supplies/ Equipment Needed for Each Module
Recruitment • Flyers• Brochures• Letter from Clinic and
School• Flyers• Phone Scripts
Session 0: Information Meeting
• Informed Consent Forms-1 per family
• Family Intake Form - 1 perfamily or on computer
• Digital Platform Scale -2• Height Stadiometer -2• PowerPoint handout for
family (Intro) - 1 per family• Download Power Point for
education delivery• Fidelity Checklist
Session 1: Orientation
• Binder - 1 per family,Contents include: pencilbag, name tags, weigh-insheets, program goals,habit book example,Traffic Light Eating PlanSheets
• Habit Books (1 per person)• Physical Activity Monitors
- 1 per participating child• PowerPoint handout for
family (Orientation) - 1 perfamily
• Download PowerPoint foreducation delivery
• Recipe of the Week - 1 perfamily
• Fidelity Checklist
• Download PowerPoint foreducation delivery
• Traffic Light Eating PlanTILES - 1 per family binder*
• Download PowerPoint foreducation delivery
• BHF Habit Book Example
• Short Pool Noodles -15• Omni Balls (Small) 4-6*• Hula Hoops - As many as
• BHF Habit Book - 1 per person• PowerPoint handout for family (Review) - 1 per family• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Name that Color Game - 1 per child
• Download PowerPoint for education delivery
• Download PowerPoint for education delivery
• Prizes for Review Game• Foam Balls various sizes -15-20 • Pinnies -4 different colors, 5-10 each color
Session 3: Energy Balance
• BHF Habit Book - 1 per person• PowerPoint handout for family (Energy Balance) - 1 per family • Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Count the Reds Game - 1 per child• Handout: Walk Around the Neighborhood - 1 per family • Activity:1/3 freeze dried apples, 1/3 beef jerky, 1/3 trail mix
• Gallon Jugs of Water -4 • Canned Food Vegetables - 8• Station Signs -10• Pinnies - 3 different colors, 5 each color• Floor mats -4• Cones -4• Large Omnikin Ball*
* denotes in the Building Healthy Families Kit
Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session
• Identifying Barriers handout - 1 per family• Barriers & Strategies Worksheet - 1 per family• Example and 'practice' worksheet - 1 per family
• Life/Cinnamon Life Cereal- 1 per family• Measuring cups- 1 set per family• Measuring spoons- 1 set per family• Snack sized bags- 1 box per family• Box of 100 Calorie Snack Packs- 1 per family
Session 4: Portions & Labels
• BHF Habit Book - 1 per person• Recipe of the Week - 1 per family• Fidelity Checklist
• Food labels for various foods - at least 10• Live Well Handout - 1 per family• Large Plastic Cereal Bowl- 10*• Rubber bands*• Plates (large and small)*
• Foam Balls -15 - 20• Poly Spots -14• Bowling Pins - 14• Frisbees - as many as there are children• Cones - 6• Popsicle Sticks* • Popsicle Stick Fitness • Key*• Cup -1*
• Eating Healthy When Eating Out - 1 per family• Barriers and Strategies Form 1 - per family
Session 5: Dining Out
• BHF Habit Book - 1 per person• Recipe of the Week - 1 per family• Fidelity Checklist
• Local fast food menus or plan to use phones• Dining Out Worksheet - 1 per family
• Yoga/Tumbling Mats - 2• Pinnies -12 (6 of one color and 6 of another)• Hula Hoops -24- previous item• Baskets/Buckets -4• Cones - 1 blue, 1 red, 1 yellow, 1 green• Foam Balls - 16• Deck of UNO or Playing Cards -1
• BHF Habit Books - 2 per person• PowerPoint handout for family (Tips on Picky Eater)• Download PowerPoint for education delivery• Snack sized baggies• Large paper plates, forks, napkins• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Fruit and Vegetable serving size tips handout - 1 per family• P.A.C.K. handout - 1 per family• Fruit and Vegetable Test Your Taste worksheet - 1 per person
Fruits and Vegetables for taste test:
• Granny Smith Apples & Gala Apples • Blackberries• Kiwi • BARE freeze dried bananas• Grape Tomatoes, Cucumber, Bolthouse dressing (yogurt based dressing)• Broccoli Slaw• Sugar Snap Peas, Ranch flavored cauliflower steamed bags
• Download PowerPoint for education delivery
• Jar of Unsweetened Applesauce- 1 jar per family• Container of Cinnamon- 1 per family• Bare Freeze Dried Fruit (Apples, Pears, etc.)- 1 package per family
• Short Pool Noodles - 4- previous item• Spike Ball Sets/Round Net Sets 6-8• Large Omnikin Ball*
* denotes in the Building Healthy Families Kit
Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session
Session 9: Modifying Recipes
• BHF Habit Book - 1 per person• PowerPoint handout for family (Modifying Recipes)• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Modified Recipes Handout - 1 per family• Cooking Methods Handout - 1 per family
• Download PowerPoint for education delivery
• Flyswatters 2 - 4 per family• Balloons: Blown Up - 10• Cones - 20• Floor Tape - 1 roll
• BHF Habit Book - 1 per person• PowerPoint handout for family (Whole Grains and Motivation)• Download PowerPoint for education delivery• Kitchen Makeover Handout - 1 per family• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Whole Grain Fact Sheet - 1 per family• Multiple whole grain labeled foods (4 with the first ingredient whole grain, 3 without)• Download PowerPoint for education delivery• Piece of white bread -1, piece of whole wheat bread -1• Shallow bowls for water & bread: Pyrex rectangular 3 cup; n=2• Fruit Loops - 1 box, Whole Grain Cheerios - 1 box• Water for bread demo• Small Plastic Ramekin - 1 per person
• Download PowerPoint for education delivery
• Microwave Popcorn 100 calorie bags- 1 box per family
Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session
Session 11: Healthy Kitchen
• BHF Habit Book - 1 per person• Download PowerPoint for education delivery (Spot the Difference: Kitchen)• Download PowerPoint for education delivery• Recipe of the Week - 1 per family• Fidelity Checklist
• Download PowerPoint for education delivery• Spot the Difference: Kitchen Worksheet - 1 per family• Kitchen Makeover Handout
• Parfait Supplies• Re-Think Your Drink worksheet - 1 per family• Pre-made sugar bags*• Recipe of the Week - 1 per family• Fidelity Checklist
• Parfait Supplies:• Vanilla low-fat greek yogurt - 1 cup per person• Berries (Cut strawberries, raspberries, and blue- berries, 1/4 cup per person• Low-fat granola - 2 TBS per person• Plastic Spoons & Napkins• 10 oz clear plastic cups - 1 per person• Re-Think Your Drink worksheet - 1 per child
• Laminated Index Cards spelling 'Physical Activity is Fun'- 2*• Popsicle Sticks*• Cup - 1*• Cones - 8- previous item • Pinnies - 15- previous item
• Crystal Light Packets- 1 box per family
Session 13: (Relapse) Rewards
• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist
• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist
* denotes in the Building Healthy Families Kit
Family take home itemsPhysical ActivityLifestyle ModificationNutrition Education Program OverviewBHF Session
Session 14: (Relapse) Triggers
• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist
Session 15: (Relapse) Stimulus Control
• Copy of Name that Color Game - 1 per child• Digital Platform Scale -2 • Height Stadiometer -2• Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist
• Cones- 1- previous item• Short Pool Noodles- 2- previous item
Session 16: 24-week assessment
• Located an area to hold your Community Activity Session • Barriers & Strategies Worksheet - 1 per family• Fidelity Checklist