1. Beware of the child menu – fried, high calorie + fatBeware of the child menu – fried, high calorie + fat Childhood Obesity Foundation The mission of the Childhood Obesity Foundation is to identify, evaluate and promote best practices in healthy nutrition and physical activity to reduce the prevalence of childhood obesity.

2. Prevalence Overweight and obese Canadian children aged 2-17 years Shields, 2005

3. Prevalence of Overweight and Obesity Effects of screen-time Canadian children (ages 6-11) Shields,2005 21% 44%36%

4. Beware of the child menu – fried, high calorie + fatBeware of the child menu – fried, high calorie + fat 5-2-1-0 rule  5 or more fruits and vegetables a day  2 hours or less of screen time a day  1 hour or more of physical activity a day  0 sugar-sweetened beverages

5. Screen Time Reduction In Canada Screen Time Definition Problems with Screen Time Recommendations Regarding Screen Time Screen Time Data for Canadian C & Y Screen Smart Screen Smart Que Screen Time Reduction Plan

6. What is Screen Time Recreational TV Computer Games Video Games Internet Social Media (facebook, twitter and texting)

7. Problems with screen time Nearly all human behavior is learned Learn by observing others and the resulting consequences (Social Cognitive Theory) ST promotes a full range of behaviors, many undesirable (food marketing and glorify high risk behaviors)

8. Problems with screen time Increased risk of overweight and obesity (PA and unhealthy food and drink) Increased risk aggressive behavior Increased risk mental health concerns Increased risk of high risk sexual behavior Increased risk of ADHD Increased risk learning difficulties

9. Screen time recommendations CPS: Max 2 hours screen time and no ST before 2 years AAP: Max 2 hours, no ST before 2 years and no TV in the bedroom COF: Max 2 hours per day, no ST before 2 years, no 2nd TV in the bedroom and watch TV 2gether

10. What is happening in canada?

11. Percent Watching < 2 Hours Computer 72 Mark, Pediatr Child Health, 2006 2001/2 WHO HBSAC

12. Percent Watching < 2 Hours TV 41 Mark, Pediatr Child Health, 2006 2001/2 WHO HBSAC

13. Percent Watching < 2 Hours Total Screen Time 18 Mark, Pediatr Child Health, 2006 14 2001/2 WHO HBSAC

14. Youth TV Viewing Click to edit Master text styles Second level Third level Fourth level Fifth level (≥ 4 hours per day) Young People’s Health in Context: HBSC. WHO, 2004

15. Youth Computer Use Click to edit Master text styles Second level Third level Fourth level Fifth level Young People’s Health in Context: HBSC. WHO, 2004 (≥ 3 hours per day)

16. More Canadian Data 2005/6 WHO HBSAC of 9,600 youth grades 6 - 10 Median daily ST for grades 6-8 students was 4.5 hours per day ( 30 % of waking hours) Median daily ST for grades 9-10 students was 5.7 hours ( 38% of waking hours)

17. Screen Time and Risk Behaviour Gr 9-10 Carson, Preventative Med, 2011 RELATIVE RISKRELATIVE RISK 2005/6 WHO HBSAC

18. Interactive program for children grades K-7 Social Cognitive Theory The program is school-facilitated but focused on after school hours and the home 10 day program, 15 minutes per day in class Aligns with provincial curriculum – math, PE, science and health career education

19. Goals: Increase awareness among students and their families of how much time they spend in front of screens Teach children to manage their screen time, choose recreational activities that support good health and reduce screen time to less than 2 hours per day (or maintain that level if already achieved)

20. Key Messages: Childhood lifestyles persist into adulthood Less screen time = better school performance Our bodies are designed to move and as a result active people are healthier and happier Screen time displaces PA, reading and socializing Children eat what they watch and while they watch It’s easy to make a difference and trade 30 minutes of screen time for other fun activities

21. Core Elements: 6 key messages with ST rec < 2 hours/day Day 1 and 10 ST diary One day Ultimate Screen Challenge (no ST for 24 hours) on day 4 Three day Trade 30 Goal setting for change post program (for 1 or 2 wks) Letters to the parents – key messages

22. Grade Dependent Elements: Grade 4 Passport - 10 days of class/home-based activities to raise awareness of total ST Grade 5 charting and ST effect on body systems Grade 6 media awareness of being marketing target Grade 7 awareness of social media and effects

23. Evaluation Formative – program development feedback 2010 Pilot Study – randomized comparison trial Baseline evaluation Sept – October 13 schools Follow-up evaluation Nov – Dec 12 schools Screen Smart October - November Passport Letter Home Knowledge, Attitudes, Behaviour Demographics, Rules/Limits Physical Activity and Screen time Survey Accelerometry Knowledge, Attitudes, Behaviour Demographics, Rules/Limits Physical Activity and Screen time Survey Accelerometry Focus Group 3-4 weeks

24. Cliquez pour éditer le format du plan de texte Second niveau de plan  Troisième niveau de plan Quatrième niveau de plan  Cinquièm e niveau de plan  Sixième niveau de plan  Septième niveau de plan  Huitième niveau de plan  Neuvième niveau de planClick to edit Master text styles  Second level  Third level – Fourth level o Fifth level Pilot Study Preliminary Results N=339, Grade 4 and 5 Intervention = 195 Comparison = 144 Key Findings ST vs Control*: Questionnaires         Overall sedentary minutes didn’t change * Haven’t accounted powered or accounted for cluster

25. Short-term changes in knowledge and self- reported TV screen time. Feedback Teacher response to the resource varied across classroom ability level Simplify the teacher resource Add a school-wide ‘Power Down’ event (some schools prefer) Prepare teachers that the introductory day takes longer Simplify the graphing/charting activities The children liked it and parent & child awareness up

26. Screen Smart contextualization in Québec Francine Forget Marin Dt.P., MBA Director - Health Promotion and Research Heart and Stroke Foundation of Québec

27. Initiative for Screen Smart contextualization in Québec Click to edit Master text styles Second level Third level Fourth level Fifth level  Screen Smart contextualization in Québec :  Participation to CLASP project, an initiative spearheaded by the Canadian Partnership Against Cancer and the Public Health Agency  Objective : implementing programs to promote healthier living and create healthier communities  Part of the Collaborative Action on Childhood Obesity group (one of the seven participating coalitions)

28. Screen Smart Contextualization and Implementation Outline in Québec Organization of an expert committee to discuss Screen Smart contextualization in Québec (spring 2011) Jacques Brodeur (EDUPAX executive), elementary school teachers, physical activity teachers, kinesiologist, education ministry consultant will all be invited Adaptation of the program according to our curriculum (i.e. Québec Education Program and the Healthy Schools approach) and reality (e.g. creation of a new logo) Official language translation (summer 2011) Pilot project (early fall 2011) and program evaluation In approximately 10 classes throughout the province of Québec Diffusion of the program in January 2012

29. Thank you! Do not hesitate to contact us for any questions regarding Screen Smart contextualization to Québec: Francine Forget Marin, project leader: francine.marin@fmcoeur.qc.ca francine.marin@fmcoeur.qc.ca Emmanuelle Dumoulin, project manager: emmanuelle.dumoulin@fmcoeur.qc.ca

30. Screen time reduction plan for canada Support FPT deliberations on restricting marketing to children (PHAC) Lobby policy makers re restricting marketing at provincial and federal level Disseminate Screen Smart to other provinces and territories Broaden SS awareness modules to include preschool and daycare, middle school and high school

31. Obtaining Screen smart www.childhoodobesityfoundation.ca July 1, 2011