1. NWCPHP Summer Institute August 2, 2016 1

2. Youth Activity Initiative

3. Snohomish County Health Leadership Coalition Snohomish County Health Leadership Coalition Mission To foster community vitality, competitiveness and prosperity through better health and healthcare value

4. Coalition Steering Committee

5. Early-win, Proof-of-principle Initiatives Palliative Care InitiativeYouth Activity Initiative

6. Vision Snohomish County is a vibrant and healthy community recognized for its leadership in making our youth among the most active in the nation. Healthy Youth Academic Success Economic Prosperity 6

7. Strategic Objectives What This Initiative Aims to Deliver HYS Activity/Health Metrics Grade 5Grade 6 Current path Desired results

8. Gear Up & Go!

9. Our Aim To reverse the decline of youth activity levels starting with our own local fifth grade students.

10. Our “Three Legged Stool” Increase Snohomish County 5th grade activity levels relative to 2014 projections Gain and rapidly share insights into what influences movement Create a catalyst and new assets for sustaining private/public sector collaboration compared to projected HYS

11. Increase activity levels of 10,000 5 th graders Nation’s 1 st online, real- time physical activity map Identify successes & barriers to youth activity Recommend key priorities for 2014+ Foster public/private collaboration Create sustainable model to scale & extend results Change the conversation: create a community culture of health Strategic Objectives

12. How did we prepare? Partnered with Sqord and the YMCA Working Group Micropilot  PE Teacher tested  PE Teacher recommendations  PE Teacher approved!  Kid tested and approved! 12

13. Partnering Organizations

14. Sqord

15. Sqord Components

16. Is it syncing?!? New status bar shows progress towards successful sync 16 The App Easier navigation & multi-sync display! New icons and stack display for multiple syncing

17. Partnership with Sqord 2. Play! Anything counts as long as kids and families keep moving 3. Track & sync days worth of activity data instantly and wirelessly 4. Share achievements, challenge friends, & earn rewards online 1. Set up a PowerMe with your online account & strap on the Booster! (Rest & Repeat)

18. 18 Admin Portal Update passwords, add/remove pod IDs from player profile

19. Who’s Who? 19

20. 3 Phase Design Phase 1- 2013/14 School Year - Orient teachers, students and community about Gear Up & Go! - Focus on student activity levels, participation and engagement - Create a baseline activity level number for schools to encourage goal setting and evaluation - Create a community of support including: superintendents, principals teachers, students, families, businesses and community organizations that are engaged and invested in Gear Up & Go! Phase 2-2014/15 + - Increase activity and engagement levels compared to previous schools year’s baseline numbers - Understand what drives activity and provide insight into best practices - Create opportunity to share information and learnings with others in order to foster planning for 2015-16 School Year Phase 3 2015 and Beyond - Foster conversations and planning for long-term programmatic sustainability in schools - Schools begin to implement programmatic changes based on needs and lessons learned INTRODUCE it UNDERSTAND it IMPROVE it

21. Accomplishments: By the Numbers over 3 years 28,000 students and faculty registered 103 participating schools School district participation Users/ Week 17 IT professionals trained 9 teacher trainings and webinars/year 365 new Snohomish County YMCA memberships 41 community SyncStations countywide 21

22. What have we learned so far? Does greater engagement in the program lead to more physical activity? Is the level of engagement maintained over time? Is there an impact on overall (school/district/county) physical activity levels? 22

23. Group Health Center for Community Health & Evaluation (CCHE) – Sqord Data NWCPHP- Surveys, KII and Focus Groups Evaluation Team

24. End of Year 3- What do we know? 24 EVALUATION Results- SQORD DATA HYS shows slight increase in physical activity Gear Up & Go! students daily activity 10% higher Association between frequency of syncing and activity levels. Individual students that engaged more often also had higher hourly activity levels

25. HYS 2014 Healthy Youth Survey Addendum ParticipationN%>7 days%>5 daysMean days Did not participate91025%24%54%4.40 Not regularly2657%25%58%4.59 Regularly then stopped123133%25%60%4.73 Regularly all year129735%35%68%5.13

26. Greater engagement in the program is associated with higher levels of activity, and that effect may persist beyond the year of participation Schools were able to promote greater engagement over time – more participation and involvement in 2014-2015 than in the previous academic year Evaluation Results- Sqord Data

27. Changes in Activity levels/ cohort Pattern of greater increases for students who started with lower levels of activity in January- May 2015 Lower two quartiles had increases of 55% and 22%, compared with 9% and 1% for the highest two.

28. 2013-14 Top Quartile Schools

29. Top Quartile Identified and interviewed + surveys Top Quartile Teacher Characteristics 50% of top quartile teachers had Master’s degrees/ 50% had Bachelor’s degrees 75% had more than 10 years teaching experience Half work in a rural community and half in an urban environment 53% of teachers taught more than 6 classes a week Evaluation Results- Surveys and KII

30. Best Practices SURVEYS + KEY INFORMANT INTERVIEW OF TOP QUARTILE GROUP = 5 COMMON BEST PRACTICES THAT DRIVE ACTIVITY IN SNOHOMISH COUNTY: 1.School-wide support of physical activity 2.Model behavior by encouraging physical activity among staff 3.School-wide program visibility 4.Use engaging and creative motivation strategies 5.Leverage synergy with existing physical activity programs

31. NWCPHP created a Field Guide to use as resource tool to help address year 3 in goal setting. Students found program engaging and useful. 4 th graders look forward to 5 th grade to become part of GUGO! Field Guide + Student Focus Group

32. Best Practice Field Guide Field guide created as a tool for teachers to learn about activities associated with best practices.

33. Economic status played no role in a child’s success in this program. Kids from all socio-economic backgrounds participated and succeeded. The program provided P.E. teachers from districts across the county a much-needed forum for sharing information and lessons learned throughout the school year. Other Findings

34. What it means to be a community sustained initiative?  SCHLC transitioned ownership to Sqord  Grants, sponsoship  School application The future of Gear Up & Go!

35. Youth Activity Initiative