KEEP K IDS E XERCISE AND E DUCATION P ROGRAM For Lifelong Health and Wellness

1. FOR YOUTH DEVELOPMENT FOR HEALTHY LIVING FOR SOCIAL RESPONSIBILITY KEEP KIDS EXERCISE AND EDUCATION PROGRAMFor Lifelong Health and Wellness

2. PEDIATRIC OBESITY Need: Childhood obesity rates have tripled since 1980 Obesity rates have shown to be greater in racial and ethnic populations Demographically greater than average increase locally Program Goal: Introduction and sustainability of long term exercise & nutritional behavioral changes Decrease likelihood of Heart Disease, Type II diabetes, Asthma, Sleep Apnea, etc… Incorporate aerobic, muscle strengthening, and bone strengthening activities Educate on healthy eating, meal planning, label reading, and preparing healthy foods

3. PROGRAM OUTLINE • 12 WEEK PROGRAM • Group meets twice per week • Program Runs 3 times per year • Physician Referred • Offered at no charge • Groups • 1 HOUR EXERCISE: Certified Personal Trainer • ½ HOUR NUTRITION: Registered Dietician • Ages 7-14 years old

4. TIMELINE • Spring 2012: Met with Brockton Hospital Chief of Pediatrics and team to launch our vision of collaboration through a program like KEEP • JUNE 2012: CHNA 22 awarded funding for our KEEP proposal under the Health Priority: Nutrition/Fitness • JULY 2012: Brochures created, Supplies ordered • AUGUST 2012: Team of trainers met to plan curriculum, brochures distributed, Signature Health developed healthy recipes • September 2012: Pilot program began • Winter 2012: Team met to evaluate pilot • January 2013: Session 2 began

5. TYPICAL K.E.E.P. CLASS • Greeting and discussion of the day’s focus (5-10 minutes) • Dynamic warm-up (5 minutes) • Endurance Training (10 minutes) • Fitness focus of the day (15 minutes) • Independent Fitness or Games (5-10 minutes) • Cool Down/ Stretch and Recap (5-7 minutes) • Nutrition Discussion and Hands-on Food Preparation (30 minutes)

6. PROGRAM PROGRESSION The Numbers Session 1 Sept- Dec: 4 kids Session 2 Jan-April: 9 kids Session 3 May-Aug: 17 kids Referral base: Harvard Vanguard Medical Associates Tri County Pediatric Signature Medical Massachusetts General Hospital Brockton Pediatrics

7. OUTCOME MEASURES Assessment Session One Aerobic endurance: 1/2 mile timed run Muscular strength/ endurance: Pushup & Sit-up test Assessment Session Two Aerobic endurance: 1 mile Muscular strength/ endurance: Pushup & Sit-up test

8. Session One Data: ½ Mile Run

9. Session One Data: Pushups and Sit-ups

10. Data Session Two: 1 Mile Run

11. Session Two Data: Pushups & Sit-ups

12. PROGRAM ADAPTIONS • Assessment during family interview • Decreased testing requirements for aerobic endurance • Implementation of Behavioral questionnaire and Nutrition survey • Attendance requirement • Family involvement • Changes to curriculum • Using feedback from session one • Focus on making fitness fun, incorporating games • Homework responsibilities

13. PROGRAM OBSERVATIONS • Challenges • Follow up with Parents • Post Assessment forms • Successes • Translation into other areas • Love of lifelong fitness • Martial Arts, Aquatics, Fitness Center • 5K race/walk • Family Strengthening • Use of Family Fitness center

14. The Future of KEEP SUSTAINABILITY Continuing to strengthen referral networks Increase number of coaches trained Strengthen Role Model program for returning participants Spread of program to other OCY branches Pilot Program in Community setting Increase the number of families served Enhance data reporting system and tracking measures

15. THANK YOU