catch Michael & Susan dell center for healthy living University of Texas School of Public Health

1. catchMichael & Susan dell center for healthy living University of Texas School of Public Health Evidence Cost effective Scalable Nationwide Recognized Approved STEVEN H KELDER, PhD. Beth Toby Grossman Distinguished Professor of Spirituality and Healing DEANNA M HOELSCHER, PhD, RD, LD McGovern Professor of Health Promotion and Behavioral Sciences PETER Cribb, Med Director, CATCH National Training

2. Obesity: a scourge worldwide

3. Accelerating Progress in Obesity Prevention

4. CATCH by the Numbers • 53% • Number of Texas districts with elementary schools trained in CATCH • 46% • Number of Texas districts with middle schools trained in CATCH • 1 Million • CATCH reach to Texas students • 25 • Number of years since initial CATCH trial • > 9,500 • Estimated number of CATCH trained schools

5. CATCH Family of Programs

6. CATCH Implementation MODEL

9. The CATCH 6-8 Materials • Physical Education • 6-8 PE Activity Box • CATCH PE Guidebook • Child Nutrition • Eat Smart Guidebook • Classroom Curriculum • 6th – 8th Lessons • Activity Breaks • Family Involvement • Family Newsletters • Family Fun Events & Activities • Social Marketing • Get Ur 60 • Get Ur H2O

10. CATCH Middle School: Social Marketing Condition get ur 60 • get ur 60 wristbands and cards • Discounts with community partner organizations (25+ organizations) • Prizes for wearing wristband/ being active • Increased opportunities for activity: Open Gym get ur H2O • Upgraded water fountains • Hydration stations for cafeteria • Water-only policy promotion • Posters

11. CATCH Coordination Toolkit • Campus guide to CATCH implementation – focuses efforts on common initiatives throughout the school year. • Designed to coordinate health messages and activities across the component areas. • Provides resources that support campus wide implementation.

12. A CATCH School Year

13. Evidence • NHLBI Randomized Controlled Trial • El Paso replication study • Travis County replication study • Child Obesity Research & Demonstration project • Over 100 scientific publications • Overweight & Obesity, Unhealthy food, Screen time • Physical activity, Healthy foods; Water

16. El Paso CATCH replication. Risk of Overweight or Obesity in Girls (> 85th % BMI) -11%, 3 year effect size -8% for Boys * * Source: Coleman et al., 2005; * Significantly higher than 3rd grade (baseline).

17. Travis County Dell Elementary CATCHPercent Overweight/Obese (> 85th % BMI) N students = ~ 1,100

18. Percent of Overweight/Obese among 8th grade students (TOTAL), 2009-2012 (n=2,826) Comparison between condition 3 & 2 (net effect): 4.8% difference (p=.14); Comparison between condition 3 & 2 (net effect): 6.3% difference (p=.049) *Adjusted for: gender, age, ethnicity, school-level SES & ethnicity; school as random effect

19. Pass & CATCH improves Stanford math & reading scores At Risk: adaptability, social skills, leadership, study skills, functional communication * * * Murray (UTSPH), under review

20. Cost EffectivenessCornell Economist John Cawley “Based on the published literature, the most cost-effective way to prevent obesity in youth is the Coordinated Approach to Child Health (CATCH), a comprehensive intervention to promote healthy eating and physical activity in elementary schools, which costs $900 per QALY saved” Health Affairs, 2010

21. Scalability • UT School of Public Health • Michael & Susan Dell Center of Healthy Living • FlagHouse Inc. • Jared Foundation • Coordinated School Health Institute

23. Taking it to Scale Implementation Costs • Per school • K-8 Curriculum: $1,500 • PE equipment: varies by # kids and inventory, $300-5,000 • In school marketing: $400 • After school curriculum: $195 • Training: varies by number of schools trained, $300-2,500 • On-site coordinator stipend: $500 • Per district • Personnel: 1-4 coordinators/100 schools • Assuming district has FTE for: PE, CNS, health education • SHAC • Per state • State and Regional coordinator (s)

24. Recognized • Institute of Medicine: Accelerating Progress on Obesity Prevention • Weight of the Nation: Pioneering Innovation Award • National Heart Lung & Blood Institute • National Cancer Institute • Centers for Disease Control • Robert Wood Johnson • Lets Move, The White House • Partnership for a Healthier America

25. approved • Approved by the Texas State Board of Education • Supported by New Mexico Health Department • Supported by Oklahoma Heath and Education Departments • Supported by Illinois Department of Public Health • Supported by Florida Department of Education

26. APPROVED

27. APPROVED

28. Invest in CATCH dissemination • Promote CATCH within existing marketing strategy • Invest in development of new CATCH programs elements • Adopt CATCH as a program for employee children health • Invest in CATCH demonstration schools • Raise funds for Local or regional implementation of CATCH

30. IT’s Time DrSteveKelder@Twitter MSDCenter@Twitter JaredFogel@Twitter