Website: http://TeachKidsNutrition.org Version: 03-31-15 PREVENTING CHILDHOOD OBESITY THROUGH ACTIVE PLAY AND NUTRITION EDUCATION This workbook accompanies seven online videos that instruct early care providers and parents to: a.) Promote physical activity through active play and b.) Teach children about nutrition during meals. Each video lasts about two minutes. The videos are: Active Play Video 1: Movement and Motor Skills (p. 5) Video 2: Encouraging Physical Activity (p. 11) Nutrition Education Video 3: Teaching Taste, Texture, and Color (p. 14) Video 4: Teaching Nutritional Benefits of Eating Healthy Foods (p. 19) Video 5: Teaching Portion Size (p. 23) Video 6: Teaching Verbal Praise (p. 26) Video 7: Putting Nutrition Education All Together (p. 29) These videos can be viewed at http://TeachKidsNutrition.org. The purpose of this workbook is to help you gather your thoughts about what you saw in each video and prepare you to encourage active play and to educate children about nutrition during meals. There are 41 questions throughout this workbook. Each question requires a written response. Simply watch the videos and read the additional material in the workbook. Then, think about how you could apply what you saw by answering each question. 2 Each section has a “Practice and Reflect” question that has you apply what you have learned in the videos. Then, it has you reflect upon your experience. The entire workbook (including watching the seven videos) should take about 1-2 hours to complete (this does not include the time it takes for you to practice what you have learned for the “Practice and Reflect” question). You can learn more about the development of these videos by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org. Then, click on the video Introduction to TeachKidsNutrition.org. If you are completing this course for independent study in-service hours from the State of Nebraska, please provide the following information listed in items A through I. Your information will be kept confidential. Please complete this entire workbook electronically, typing your responses into the grey boxes. Please save your work as you go! (File -> Save) Nebraska Department of Education Form for Approving Independent Study A.) First Name: B.) Last Name: C.) Organization: Check only one box. Family Child Care Home I Family Child Care Home II Child Care Center School-Aged-Only Center Preschool Other: 3 D.) Ages of children served in your program: Check all that apply. Infants Toddlers Preschoolers Kindergartners Primary School Age E.) Email: F.) Street Address 1: G.) Street Address 2: H.) City: I.) Zip: When you finish this workbook, you may email it to: [email protected] for review by the Gretchen Swanson Center for Nutrition. Your responses will be reviewed for completion and accuracy. Pending a successful review, staff from the Gretchen Swanson Center for Nutrition will send your information to the Nebraska Department of Education for an independent study in-service hour. If the review reveals you have not completed this workbook fully and accurately, a member of the Gretchen Swanson Center for Nutrition will contact you. 4 PHYSICAL ACTIVITY VIDEO 1: MOVEMENT AND MOTOR SKILLS Let’s begin by watching the video: Movement and Motor Skills. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Movement and Motor Skills) As the video mentioned, childcare providers and parents should be aware of movement and motor skills that children are developing. It is important that children develop these movement skills early in life, so they begin to adopt an active, healthy lifestyle. Let’s review the three groups of movement skills that children should be developing. The first type of movement skill is LOCOMOTOR SKILLS. Locomotor skills involve moving the body from one point to another. Examples of locomotor skills include: a. Hopping b. Jumping c. Galloping The second type of movement skill is BODY MANAGEMENT SKILLS. These skills involve balancing the body in stillness and in motion.1 Examples of body management skills include: a. Balancing b. Bending c. Climbing The third type of movement skill is OBJECT CONTROL SKILLS. Object control skills involve children controlling objects such as rackets or balls by using either their hands or feet. Examples of object control skills include: a. Throwing b. Catching c. Kicking 5 To ensure that children are developing these movement skills during free play times, childcare providers and parents should make a variety of equipment available, whether free play is happening indoors or outdoors. The table below provides examples of physical activities that children can do at ages 3, 4, and 5 years old. It is important to remember that children develop movement skills differently. For example, the table says that a 4-year-old child can “Gallop 5 feet.” However, some perfectly healthy 4-year-old children may not be able to gallop five feet, while others may be able to gallop more than five feet. Therefore, the table below is meant to provide general guidelines on developmentally appropriate movement skills. Typical Developmental Skills for 3 to 5 Year Old Children 2-3 3-Year-Olds Can Typically: Walk up stairs while placing one foot on each step (alternating gait) for 4 steps without holding on Peddle a tricycle short distances 4-Year-Olds Can Typically: Walk on a 2 inch line for 10 feet without stepping off 5-Year-Olds Can Typically: Run while pumping arms Hop on one foot forward, 1-3 times Hop 8 consecutive times on one foot followed by 8 hops on the other foot Gallop 5 feet Gallop 10 feet with weight transferred smoothly and evenly with arms moving freely in opposition to legs Peddle a tricycle for long distances, turn corners, and make a U-turn Catch a ball with hands and arms extended Catch a tennis ball with hands, from 5 feet away Kick a ball with leg straight and little body movement Throw a tennis ball underhand 10 feet using upper trunk rotation with arms and legs moving in opposition, and initiate a throw by moving arm down and back Complete a mature overhand throw (child begins with side facing the target, rotating body and stepping forward with leg on opposite side as throwing arm) 6 Another point that this video makes is the importance of making a variety of equipment available. You should select a variety of equipment to help children develop LOCOMOTOR SKILLS, BODY MANAGEMENT SKILLS, and OBJECT CONTROL SKILLS. Here are some types of equipment or resources you might consider making available: LOCOMOTOR SKILLS a. Jump ropes b. Chalk for hopscotch c. Cones for marking boundaries for tag games BODY MANAGEMENT SKILLS a. Balance beams b. Hula hoops c. Access to playground equipment OBJECT CONTROL SKILLS a. Whiffle balls b. Bats c. Basketballs If you don’t have access to this this specific equipment, you can improvise. For example, if you don’t have balance beams, you could find lines on the playground or in the grass and challenge children to balance on them. As long as the activity is safe and fun, you can promote the development of movement skills. Now, there are a few questions to test your understanding of the skills. Please check the box that represents the accurate answer. 7 1.) Which of these skills is a LOCOMOTOR SKILL? Check only one box. Rolling Dribbling Balancing Skipping Kicking 2.) Which of these skills is a BODY MANAGEMENT SKILL? Check only one box. Ball rolling Throwing Sliding Galloping Turning 3.) Which of these skills is an OBJECT CONTROL SKILL? Check only one box. Twisting Striking Running Jumping Bending 8 4.) Please indicate whether the following statement is True or False: A 4-year old can typically throw a tennis ball underhand, about 15 feet: Check only one box. True False 5.) Please indicate whether the following statement is True or False: A 3-year old can typically catch a tennis ball with his or her hands from 5 feet away: Check only one box. True False 6.) Please indicate whether the following statement is True or False: A 5-year old can typically hop on one foot 10 times followed by 10 hops on the other foot: Check only one box. True False 7.) Practice and Reflect: Observe children using LOCOMOTOR SKILLS, BODY MANAGEMENT SKILLS, and OBJECT CONTROL SKILLS. Then, use the space below to reflect on what you noticed. Provide at least 5 complete sentences for full credit. 9 References 1. Department of Education, Western Australia. Fundamental movement skills: Learning, teaching, and assessment: Preparing children for an active and healthy lifestyle. 2. BrooksSM Rehabilitation. A guide to your child’s gross & fine motor development. Available at: http://www.brookshealth.org/motor-skills.pdf 3. Gallahue DL, Ozmun JC. Understanding Motor Development: Infants, Children, Adolescents, Adults. Dubuque, IA: McGraw-Hill, 2002. 10 PHYSICAL ACTIVITY VIDEO 2: ENCOURAGING PHYSICAL ACTIVITY Now, let’s watch the video: Encouraging Physical Activity. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Encouraging Physical Activity) As the video mentioned, childcare providers and parents can encourage physical activity during free play times in a variety of ways. To promote physical activity in children you can: Prompt the child or children by simply getting them started on a physical activity. For example, you might say, “Kick this ball into the goal from here.” Ask questions or challenge the child or children. For example, you might ask, “Now, can you try kicking that ball with your other foot?” Encourage the child or children. For example, you might say, “Wow, that’s a different way of doing it; that’s really creative!” The National Association for the Education of Young Children (NAEYC) provides details about these three approaches, which they call: Effective Developmentally Appropriate Practice Teaching Strategies.4 Although the video Encouraging Physical Activity names these three approaches slightly differently than NAEYC, they involve the same principles. For example, NAEYC discusses “encouraging persistence and effort rather than just praising and evaluating what the child had done.” They provide the example, “You’re thinking of lots of words to describe the dog in the story. Let’s keep going!” Encouraging persistence and effort is just another form of prompting, 11 and although the example they use is an education-based example (rather than physical activity-based), the same principle is at work. Another one of the Developmentally Appropriate Strategies that NAEYC provides is Asking Questions, which is done to “provoke children’s thinking.” Although your purpose in asking questions is to promote physical activity, it is the same strategy. The questions you ask will hopefully promote physical activity and provoke children’s thinking as well. NAEYC also describes adding challenge so that a task goes a bit beyond what the child(ren) can already do. NAEYC specifies that a challenge can be presented multiple times and made more challenging or less challenging. This can also be the case for the physical activities that you encourage. For example, in the video, the teacher asks the children, “See if you can do it [walk in a line with a bean bag on your head] this time with you hands behind your back.” The teacher could make this more challenging or less challenging, based on the skills of the group. Finally, in the video, the teacher encourages a child when she catches a ball, “She caught it! Yeah, Emily!” NAEYC also mentions encouragement as an effective teaching practice, focusing on encouragement for persistence and effort. The example NAEYC provides is from education: “You’re thinking of lots of words to describe the dog in the story. Let’s keep going!” Now, let’s apply these concepts. 8.) First, write down a physical activity that the child(ren) that you are with might engage in: Now, write down two ways to prompt less active children to be more active: 9.) Prompt 1: 12 10.) Prompt 2: Next, write down two questions you might ask to challenge the child(ren) to be more active: 11.) Question 1: 12.) Question 2: Finally, write down two statements you might make to encourage children in the activities they are performing. 13.) Encouragement 1: 14.) Encouragement 2: 15.) Practice and Reflect: Practice prompting, asking questions or challenging, and encouraging children to be physically active. Then, use the space below to reflect on what you noticed when you did these things. Provide at least 5 complete sentences for full credit. Reference 4. NAEYC. 10 Effective DAP Teaching Strategies. Available at: http://www.naeyc.org/dap/10effective-dap-teaching-strategies 13 NUTRITION EDUCATION VIDEO 3: TEACHING TASTE, TEXTURE, AND COLOR Now let’s watch the video: Teaching Taste, Texture, and Color. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Teaching Taste, Texture, and Color) As mentioned in the video, adults can educate children about the taste, texture, and color of foods through conversations at meal times. Adults can ask questions and make statements about the foods being eaten. Let’s review taste, texture, and color of foods. Taste There are 5 types of taste. They are: 1. Sweet – most pears taste sweet 2. Sour – most plain yogurt tastes sour 3. Salty – salted pretzels are salty 4. Bitter – unsweetened chocolate tastes bitter 5. Savory – salmon is an example of a savory food The video you just watched talks about asking questions and making statements about taste. Please read items 16, 17, and 18, and then write your answers in the blanks provided. 16.) Write down a food you typically eat with children: 14 17.) Write down a question you might ask about this food’s taste (either a specific or general question): 18.) Write down a statement you might make about this food’s taste (either a specific or general statement): Texture There are many different words to describe the texture of foods. Some of these words are: Soft Smooth Thick Firm Slippery Sticky Hard Rough Spongy Furry The video you just watched talks about asking questions and making statements about texture. Please read items 19, 20, and 21, and then write your answers in the blanks provided. 19.) Write down a food you typically eat with children: 15 20.) Write down a question you might ask about this food’s texture (either a specific or general question): 21.) Write down a statement you might make about this food’s texture (either a specific or general statement): Color There are 6 colors to consider when talking about food. You may also consider “white” a color. These colors are: 1. RED 2. ORANGE 4. BLUE 5. PURPLE 6. GREEN (the absence of color) There have been a variety of health curricula focused on teaching people – adults and children – to eat a variety of colors from the rainbow. One example is, What Color is Your Food: Taste a rainbow of fruits and vegetables for better health.5 A few nutritional benefits of foods in each of these food groups are listed in this section, for you (the adult). Remember, when you communicate nutritional benefits to children, keep it simple! Video 4 provides additional information on teaching nutritional benefits. RED fruits and vegetables can prevent certain types of cancer and antioxidants protect cells. These fruits and vegetables include: o Red apples o Beets 16 o Pomegranates o Strawberries o Tomatoes ORANGE and fruits and vegetables can ensure a healthy immune system and promote heart health. These fruits and vegetables include: o Apricots o Carrots o Oranges o Sweet potatoes o Corn BLUE and PURPLE fruits and vegetables can protect cells (like some RED fruits and vegetables), improve memory, and reduce the risk of stroke. These fruits and vegetables include: o Blueberries o Plums o Eggplant o Prunes GREEN fruits and vegetables may protect against some forms of cancer, promote eye health, and reduce the risk of birth defects among women who are pregnant. These fruits and vegetables include: o Green apples o Asparagus o Broccoli o Lettuce o Spinach The video you just watched talks about asking questions and making statements about color. Please read items 22, 23, and 24, and then write your answers in the blanks provided. 17 22.) Write down a food you typically eat with children: 23.) Write down a question you might ask about this food’s color (either a specific or general question): 24.) Write down a statement you might make about this food’s color (either a specific or general statement): 25.) Practice and Reflect: Practice making statements and asking questions about the taste, texture, and color of foods. Then, use the space below to reflect on what you noticed when you did this. Provide at least 5 complete sentences for full credit. Reference 5. Garden-Robinson J. What Color is Your Food? Taste a rainbow of fruits and vegetables for better health. Available at: http://www.ag.ndsu.edu/pubs/yf/foods/fn595.pdf 18 NUTRITION EDUCATION VIDEO 4: TEACHING NUTRITIONAL BENEFITS Now, let’s watch the video: Teaching Nutritional Benefits. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Teaching Nutritional Benefits) Let’s think about how you could teach children about nutritional benefits of healthy foods during the meals you eat with them. Remember to focus on tangible benefits that children can understand, especially: How the foods they eat affect their body How the foods they eat allow them to do activities they enjoy ChooseMyPlate.gov from the United States Department of Agriculture (USDA) provides information on the health benefits and nutrients of foods from each of the food groups: fruits, vegetables, grains, protein foods, and dairy (http://www.choosemyplate.gov/food-groups/). A few nutritional benefits of foods in each of these food groups are listed in this section, for you (the adult). Remember, when you communicate nutritional benefits to children, keep it simple! 19 Fruits and Vegetables Vitamin C is found in foods such as oranges, kiwi, and broccoli. It is important for growth and repair of body tissues. Vitamin C helps heal cuts and wounds and keeps teeth and gums healthy. Diets rich in potassium may help to maintain healthy blood pressure. Fruit sources of potassium include bananas, prunes and prune juice, dried peaches, apricots, cantaloupe, honeydew melon, and orange juice. Some vegetables and fruits contain fiber, such as broccoli, pears, and apples. These vegetables and fruits may reduce the risk of obesity, diabetes (type 2), and other chronic diseases. Example message to children: “Oranges help heal owies.” Grains Magnesium is found in whole grains; it is used in building bones and releasing energy from muscles. Selenium is also found in whole grains; it is important for a healthy immune system. The B vitamins thiamin, riboflavin, and niacin play a key role in metabolism – they help the body release energy. Example message to children: “Whole grain bread helps keep colds away.” Proteins Proteins function as building blocks for bones and muscles (remember to limit or avoid proteins high in saturated fat and cholesterol). The B vitamins help build tissues. Magnesium is used in building bones and in releasing energy from muscles. Zinc is necessary for biochemical reactions and helps the immune system function properly. Example message to children: “Eating protein helps our muscles grow big and strong.” 20 Dairy Calcium is used for building teeth and bones. Intake of dairy products is linked to improved bone health. Intake of dairy products is also associated with a reduced risk of type 2 diabetes and other diseases. Example message to children: “Milk keeps our bones healthy.” Now, consider a food from each food group that the children in your early care center (or your home) eat often. Then, write how that food: Affects their body Allows them to do activities they enjoy Please read items 26 through 33, and then write your answers in the blanks provided. 26.) Write down a fruit or vegetable you typically eat with children: 27.) How would you describe the nutritional benefit(s) of this fruit or vegetable to a child? 28.) Write down a grain you typically eat with children: 29.) How would you describe the nutritional benefit(s) of this grain to a child? 30.) Write down a protein food you typically eat with children: 21 31.) How would you describe the nutritional benefit(s) of this protein food to a child? 32.) Write down a dairy product you typically eat with children: 33.) How would you describe the nutritional benefit(s) of this dairy product to a child? 34.) Practice and Reflect: Practice teaching children how the foods they eat affect their body and how the foods they eat allow them to do activities they enjoy. Then, use the space below to reflect on what you noticed when you did these things. Provide at least 5 complete sentences for full credit. 22 NUTRITION EDUCATION VIDEO 5: TEACHING PORTION SIZE Now, let’s watch the video: Teaching Portion Size. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Teaching Portion Size) As a general rule, adults should give children who are between 2 and 5 years old about 1 tablespoon for each year of the child’s age.6 So, if a child is 4 years old, he should receive a portion of about 4 tablespoons of each food item. The video you watched described a 3-step process for teaching children about portion size during meals. Step 1: Set a portion rule and model the portion. For example: Please take 2 spoonfuls of grapes. (Then you (the adult) model this by taking two spoonfuls of grapes.) Step 2: Have the child serve himself or herself. Step 3: If the child finishes the first serving and wants a second, prompt the child to attend to his or her hunger cues. For example: When you listen to your tummy, is it telling you that you’re still hungry? There are many resources out there for portion size. For example, the American Academy of Pediatrics7 provides guidelines for portion size that are a bit more specific than the 1 tablespoon per year of age: 23 Fruits: Children ages 1 to 6 need 2-3 servings per day. For example, this may be in the form of: A fourth of a cup of cooked, frozen or canned fruit A fourth of a cup of 100% fruit juice Vegetables: Children ages 1 to 6 need 2-3 servings per day. For example, this may be in the form of: A fourth of a cup of cooked vegetables Children who are ages 4-6 may have a half cup of salad Grains: Children ages 1 to 6 need 6-11 servings per day. For example, this may be in the form of: A half slice of bread A fourth of a cup of cooked cereal, rice, or pasta Meats and other proteins: Children ages 1 to 6 need 2 servings per day. For example, this may be in the form of: One ounce of meat, fish, chicken, or tofu A fourth (ages 1 to 3) to a half (ages 4 to 6) of a cup of cooked beans Dairy: Children ages 1 to 6 need 2-3 servings per day. For example, this may be in the form of: A half of a cup of milk A third (ages 1 to 3) to a half (ages 4 to 6) of a cup of yogurt For very specific guidelines on portion size, based on age, sex, and activity level, see the Dietary Guidelines for Americans8 at: http://www.health.gov/dietaryguidelines/2010.asp (this version is from 2010, but the 2015 version should be available soon on www.health.gov). Please read items 35 and 36, and then write your answers in the blanks provided. 35.) Think of one food you might eat with children in the next day or so: 24 36.) Now, determine the portion of that food for the child(ren) you will be eating with. You can refer to one of the resources above (from the American Academy of Pediatrics or the Dietary Guidelines for Americans) or you can use the general rule of giving children who are between 2 and 5 years old about 1 tablespoon for each year of the child’s age. In the space below, write the verbal rule you will set for the child(ren): 37.) Practice and Reflect: Practice teaching children portion size by 1. Setting a portion rule and modeling the portion, 2. Having the child serve himself or herself, and 3. Prompting the child to attend to his or her hunger cues (if the child finishes the first serving and wants a second). Then, use the space below to reflect on what you noticed when you used each of these teaching strategies. Provide at least 5 complete sentences for full credit. References 6. Ramsay, S. A., Branen, L. J., & Johnson, S. L. (2012). How much is enough? Tablespoon per year of age approach meets nutrient needs for children. Appetite. 58(1):163-7. doi: 10.1016/j.appet.2011.09.028 7. American Academy of Pediatrics. What do parents need to know about serving size and portion size? Available at: http://www.healthychildren.org/English/healthyliving/nutrition/Pages/Portions-and-Serving-Sizes.aspx 8. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Dietary Guidelines for Americans, 2010. Available at http://www.health.gov/dietaryguidelines/2010.asp 25 NUTRITION EDUCATION VIDEO 6: VERBAL PRAISE Now, let’s watch the video: Verbal Praise. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Verbal Praise) As the video mentioned, it is important for children to have positive experiences with healthy foods. One way to help make eating healthy foods a positive experience is to use verbal praise. Verbal praise simply means saying positive things about a child’s behavior. You could verbally praise any positive interaction with food, including: Conversation about food Serving behavior Eating behavior Here are 3 examples of verbal praise: Yes, this yogurt is sour, great description. (Conversation about food) That was exactly four spoonfuls of grapes, thank you for serving yourself! (Serving behavior) Good job trying that orange! (Eating behavior) The video states that verbal praise should be: behavior-specific (this means you praise a certain behavior), immediate (this means you praise the behavior as soon as it happens), and enthusiastic (this means you praise the behavior with a positive tone). 26 The videos do not go into reasons of why these features of verbal praise (behavior-specific, immediate, and enthusiastic) are important. The May Institute9 provides a bit more detail on why these features of verbal praise are important. It is important for verbal praise to be behavior-specific because this helps the child know exactly what is being rewarded. If the child knows that she is being praised for trying a new food, and not simply being rewarded for siting quietly at the table, she may be more likely to try new foods in the future. It is important for verbal praise to be immediate for a few reasons. First, if you wait too long to praise a certain behavior, there is a chance that you may inadvertently praise other behaviors (especially, if your praise is not behavior-specific). It is also important to remember that waiting too long to praise a behavior may decrease the power of the verbal praise. Finally, it is important to be enthusiastic. Enthusiasm may come from the tone of your voice, but it may also come from your body language. Providing verbal praise in an enthusiastic tone is important and will strengthen both the reward of the verbal praise as well as the desired behavior. Now, think back to a recent meal with a child. Next, list 3 praise statements you could have made (or did make). Remember you can praise almost anything related to food. 38.) Verbal praise statement 1: 39.) Verbal praise statement 2: 40.) Verbal praise statement 3: 27 41.) Practice and Reflect: Practice verbally praising any positive interaction with food such as conversation about food, serving behavior, or eating behavior. Then, use the space below to reflect on what you noticed when you did this. Provide at least 5 complete sentences for full credit. Reference 9. Harris, T. J. Behavior-specific praise reinforces good behavior. Available at: http://www.mayinstitute.org/news/topic_center.html?id=932 28 NUTRITION EDUCATION VIDEO 7: PUTTING NUTRITION EDUCATION ALL TOGETHER Now, watch the final video: Putting it All Together. You can watch the video by clicking on this link (or by copying and pasting it into your browser): http://TeachKidsNutrition.org (Then, click on the video Putting it All Together) These videos aimed to instruct you (an early care provider or parent) to: a.) Promote physical activity through active play and b.) Teach children about nutrition during meals. Each video lasted about two minutes. These videos involved six topics: Movement and Motor Skills Encouraging Physical Activity Teaching Taste, Texture, and Color Teaching Nutritional Benefits of Eating Healthy Foods Teaching Portion Size Teaching Verbal Praise Although these videos are focused on teaching and do not address menu planning, if you are an early care provider, ideally you may consider these areas when you are planning your menu and your curriculum. If you participate in the Child and Adult Care Food Program (CACFP) you must serve certain components – milk, fruits, vegetables, and grains/breads. At lunch or supper meat/meat alternatives must also be served10 (it is important to note that the CACFP meal pattern regulations are set to change in the year 2015). As you plan your menu, you may start to think about how you and your teachers may teach these skills. If you are a parent, you may think about teaching these skills as you buy and plan meals. If you are completing this course for independent study hours from the State of Nebraska, you may email your completed workbook to: [email protected] for review by the 29 Gretchen Swanson Center for Nutrition. Your responses will be reviewed for completion and accuracy. Pending a successful review, staff from the Gretchen Swanson Center for Nutrition will send your information to the Nebraska Department of Education for an independent study in-service hour. If the review reveals you have not completed this workbook fully and accurately, a member of the Gretchen Swanson Center for Nutrition will contact you. If you are not completing this course for independent study in-service hours from the State of Nebraska, simply have a colleague in your early care center (if you are in childcare) or another adult (if you are a parent) take a look at the answers you provided and give you feedback. If there is anything that this person feels you could improve on (or anything this person does not agree with) work together to revise your answers. Enjoy all the active play and healthy eating with your child(ren)! Video Survey Please answer each question based on how you feel after watching these videos and seeing the workbook. 1.) I feel more confident encouraging children to be physically active after watching these videos (check one): Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree 2.) I feel more confident teaching children about nutrition after watching these videos (check one): Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree 3.) Short videos are a good way to learn how to encourage children to be physically active (check one): Strongly Agree Agree Neither Agree Nor Disagree 30 Disagree Strongly Disagree 4.) Short videos are a good way to learn how to teach children about nutrition (check one): Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree 5.) I can incorporate the ideas from the videos into my interactions with children (check one): Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree 6.) Are you the parent of a child between the ages of 2 to 5 years old? (check one): Yes No 7.) Are you a parent of a child of any age? (check one): Yes No 8.) I am (check one): Female Male 9.) Please describe what you liked BEST and what you liked LEAST about this training. Best: Least: Please answer questions 10 through 12 if you work in childcare: 10.) My position title is: 11.) I have worked at this childcare center for years. 12.) Before coming to this childcare center, I worked at other childcare centers for years. Thank you for taking the survey! Reference 10. United States Department of Agriculture, Food and Nutrition Service. Child and Adult Care Food Program (CACFP). Available at: http://www.fns.usda.gov/cacfp/child-and-adult-care-foodprogram 31 ACKNOWLEDGEMENTS We would like to thank everyone who contributed to these videos, including staff at Educare of Omaha-Indian Hill, Edison Creative, and the following individuals: Deborah Winkelmann, MEd Educare of Omaha at Indian Hill Janice Fletcher, EdD University of Idaho Kristen Copeland, MD, FAAP Cincinnati Children's Hospital Medical Center Suzanne Haydu, MPH, RD California Department of Public Health Rae Pica, BS Rae Pica Keynotes & Consulting Ashley Brailsford Vaughns, PhD College of Charleston Steve Sanders, EdD University of South Florida Denise Sofka, MPH, RD HHS/HRSA/Maternal and Child Health Bureau Ana Carolina Sella, PhD, BCBA Universidade Federal de Alagoas Hollyanne Fricke, MPH Gretchen Swanson Center for Nutrition Katherine Stern, BS Gretchen Swanson Center for Nutrition Catherine Plumlee, MPH Gretchen Swanson Center for Nutrition Melissa Leon, BS University of Nebraska Medical Center For correspondence, please contact: Daniel J. Schober, PhD, MPH Gretchen Swanson Center for Nutrition Email: [email protected] 32
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