1. Denise Redmon, Nutrition Specialist Missouri Department of Health & Senior Services

2. I. Background Review II. Eat Smart Guidelines III. Demographics IV. Methodology V. Analysis of Data VI. Results VII. Final Remarks

3.  CFNA’s Obesity Initiative  Missouri Eat Smart Guidelines ◦ Dietary ◦ Nutrition Policy  2011 Update of Eat Smart Guidelines ◦ Institute of Medicine Recommendations ◦ 2010 Dietary Guidelines & MyPlate

4.  More whole grains  Decrease Juice  More Fresh Fruit & Vegetables  Less processed foods  Lower fat milk  Fewer sweets  Improved Quality Snacks  More Variety www.health.mo.gov/eatsmart

5.  Eat Smart Mini-Grants Awarded  Grant Requirements ◦ Pre- & Post- Nutrition Assessment Submitted ◦ Apply for Recognition ◦ Attend 3 Hour Training or On-Line Training

6.  Three Rounds of Mini-Grants  Independent Centers ◦ Max of $2,500  Sponsoring Organization ◦ $2,500 per Center  Sponsoring Organizations of Homes  Funding Expended

7.  Mix of Urban & Rural Child Care Centers  158 Child Care Centers Received Funding

9.  Purpose of Post-Assessment  Scored on Likert Scale  Analysis of Each of the 38 Assessment Questions  Results Combined Across all 3 rounds and Separate by Round

10.  Conducted by Missouri Office of Epidemiology  Wilcoxon Signed Rank Test  SAS Analysis Software

11. RankAssessment Criteria Percent Significant Difference 1 Fundraisers36% 2 Healthy Celebrations35% 3 Posters26% 4 Written Policy26% 5 Additional Sweeteners24%

12. RankAssessment Criteria Percent Significant Difference 1Whole Grains – Snack 34% 2Additional Sweeteners 32% 3Posters 27% 4Written Policy 25% 5Whole Grains - Lunch 25%

13. RankAssessment Criteria Percent Significant Difference 1 Fundraisers 45% 2 Nutrition Ed for Children 44% 3 Family Style Meals 41% 4 Posters 34% 5 Dark Green/Orange Fruit & Vegetables 33%

16.  5 Environmental Components Ranked in the Top 10.  5 Nutritional Components Ranked in the Top 10.  7 Environmental Components Ranked in the Top 10.  3 Nutritional Components Ranked in the Top 10. Highest Percent ChangeLowest Percent Change Across All 3 Rounds

17.  Noteworthy Achievement ◦ Family Meal Service ◦ 12 Centers Initiated this Component  Factors Influencing Change ◦ Funding & Training

18. Round Number Recognized as “Eat Smart” Level 126 15 Advanced 11 Intermediate 239 11 Advanced 28 Intermediate 35 3 Advanced 2 Intermediate Total70 29 Advanced 41 Intermediate

19.  What We Learned…  What is in the Works?