Policy Regulations for Day Care in NYC

Policy Regulations for Day Care in New York City is a PSE change intervention designed to improve the physical activity and nutrition practices in NYC group day care facilities. This amendment included specific guidelines for outdoor play and physical activity, limits on television viewing, and requirements for food and food areas. The New York City Department of Health and Mental Hygiene (DOHMH) reviewed the NYC health code in 2006 and 2015; the review identified gaps in nutrition and physical activity in day care settings.  As a result of these findings, the DOHMH requested that the Board of Health amend or add provisions relating to the operation of day care services regulated by Article 47 of the Health Code.  These provisions included requirements to:

  • establish minimum requirements on  indoor and outdoor play (amendment),
  • provide structured and guided physical activity (addition),
  • establish limits on time spent on sedentary activities and screen time (addition), and
  • institute stricter nutritional standards (amendment).

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: PSE Change

Healthy Apple Program

The Healthy Apple Program is a PSE Change tool designed to improve the nutrition, physical activity practices, and environment of child care facilities. The program recognizes achievements by issuing awards to child care providers who make improvements and reach their goals.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

I am Moving, I am Learning (IM/IL)

I am Moving, I am Learning (IM/IL) is a direct education and PSE Change intervention designed to increase daily moderate-to vigorous physical activity, improve the quality of movement activities, and promote healthy food choices among preschool children.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, PSE Change

First Years in the First State: Improving Nutrition and Physical Activity Quality in Delaware Child Care

The First Years in the First State is a PSE change intervention designed to improve the quality of nutrition, physical activity and screen-viewing activities in child care centers in Delaware by providing training on the new regulations licensed childcare centers, which were changed to better align with best practice. This program provided training and toolkits, evaluates providers’ knowledge of the rules, and satisfaction with the training content and format.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Food Hero

Food Hero is a multi-channel social marketing campaign designed to change family and community behaviors.  Food Hero includes an extensive evaluation process. The program is designed to increase fruit and vegetable consumption among low-income Oregonians, and components of the campaign have been used widely in other states and countries.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change, Social Marketing

Healthy Habits for Life

Healthy Habits for Life is a direct education and social marketing initiative designed to help parents and caregivers encourage children to build healthy habits early. The initiative features Sesame Street friends who model fun ways to move and play and encourage children to explore and enjoy healthy foods. Since 2004, messages about nutrition and exercise have been integrated into Sesame Street as part of the Healthy Habits for Life initiative. In 2006, multimedia outreach kits that include classroom activities, simple recipes, a storybook, and a DVD of The Get Healthy Now Show! were delivered to child care centers.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, Social Marketing

EatFresh

EatFresh.org is mobile-friendly website that was created for the SNAP-Ed population and the organizations that serve them. It provides practical resources and encouragement for individuals with varying levels of digital literacy, internet access, health awareness and culinary skills. EatFresh.org is a stand-alone indirect education resource, an extender for direct education interventions, and a useful tool for a variety of PSE strategies. Partners throughout California use EatFresh.org as a tool to direct their participants to healthy recipes during nutrition workshops, to look up preparation and storage tips for food received at food banks, and to apply for SNAP/Calfresh.  They promote the website by distributing recipe cards at health fairs and other indirect events, and refer clients to the EatFresh.org Mini Course as a flexible direct education resource. The EatFresh.org Mini Course is a free online direct education course that features 15 SNAP-Ed self-paced topics that can be completed in any order.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change

Empower Program

The Empower Program is a PSE Change intervention developed by the Arizona Department of Health Services to support the efforts of licensed early care and education facilities and certified family child care homes to empower young children to grow up healthy.  Participating facilities pledge to adopt 10 standards that encourage healthy eating, active play, and other health habits.  Requirements include having a written policy and implementing each of the 10 standards.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Go Nutrition and Physical Activity Self-Assessment for Child Care (Go NAP SACC)

NAP SACC/Go NAP SACC is a direct education and PSE change intervention designed to enhance nutrition and physical activity practices in early care and education programs by improving the:

  • supports for breastfeeding and nutritional quality of food served,
  • amount and quality of indoor and outdoor physical activity,
  • provider-child interactions around food and physical activity,
  • educational opportunities for children, parents, and providers, and
  • program policies related to breastfeeding, nutrition, indoor and outdoor physical activity and screen time.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: Direct Education, PSE Change

CHOICES, Contra Costa Child Care Council’s Best Practices

The CHOICES intervention provides tools to assess and develop nutrition and physical activity policies in child care settings. The CHOICES team developed the Self-Assessment Questionnaire (SAQ) and the Best Practices Manual to help childcare centers develop comprehensive written nutrition and physical activity policies. The SAQ is a list of 35 best practices for childcare nutrition and physical activity environments. The four sections of the SAQ address nutrition, child feeding practices, foods served, physical activity, and staff and parent training.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Eat Well Play Hard in Child Care Settings (EWPHCCS)

Eat Well Play Hard in Child Care Settings (EWPHCCS) is a direct education and PSE change intervention that focuses on improving the nutrition and physical activity behaviors of pre-school age children and their parents/caregivers by using educational strategies and skill building activities to promote healthy behavior change. The intervention also builds social support within the child care environment by including teachers and care providers in lessons and encouraging positive role-modeling and classroom reinforcement of nutrition and physical activity messages.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, PSE Change

Hip Hop to Health Jr.

Hip Hop to Health Jr. is a direct education intervention designed to encourage healthy eating and exercise for children ages 3-5 years.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education

Out of School Nutrition and Physical Activity (OSNAP)

The Out of School Nutrition and Physical Activity (OSNAP) Initiative is a PSE change intervention designed to increase healthy nutrition and physical activity and reduce screen time for children, including the frequency with which water is served during snack at afterschool programs. By promoting water, the OSNAP Initiative decreases the caloric impact of beverages served in afterschool programs. OSNAP, through its interactive website, www.osnap.org, provides afterschool program staff and organizational leaders with resources to improve their program practices and policies related to healthy foods, drinks, and physical activity.  One component of the OSNAP initiative focuses on providing access to free drinking water at snack time for children in afterschool programs.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type:  PSE Change

CATCH Early Childhood (CEC)

The Coordinated Approach to Child Health Early Childhood (CEC) is a direct education and PSE change intervention designed to nurture a love of physical activity (PA) while introducing classroom-based gardening, nutrition, and healthy eating in children ages 3-5. Modeled after the nationally recognized CATCH Program, CEC provides an environment where PA, health education, gardening and healthy eating behaviors are valued and taught. The program gives children the opportunity to walk, run, jump, dance, and move their whole bodies while playing and having fun.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, PSE Change

Cooking Matters

Cooking Matters is helping end childhood hunger by inspiring families to make healthy, affordable food choices. Cooking Matters by Share Our Strength teaches participants to shop smarter, use nutrition information to make healthier choices and cook delicious, affordable meals. Cooking Matters provides professional-level curricula and instructional materials, training, evaluation and national leadership support to approved partners, while local program partners provide hands-on, grassroots-level resources, program customizations and relationships that are best addressed on the local level.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education

Learning about Nutrition through Activities (LANA)

Learning about Nutrition through Activities (LANA) is a direct education and PSE change intervention designed to create supportive environments and provide role models that encourage preschool children to enjoy eating fruits and vegetables. The LANA Preschool Program is based on well-established nutrition education and behavior-change theories. LANA helps children learn to eat more fruits and vegetables by increasing opportunities for children to taste and eat fruits and vegetables, providing opportunities for hands-on experiences with fruits and vegetables, creating a supportive environment for eating fruits and vegetables, providing children with role models who eat fruits and vegetables and connecting classroom or child care activities with their home environment.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education, PSE Change

Sports Play Active Recreation for Kids (SPARK)

Sports Play Active Recreation for Kids (SPARK) has numerous evidence-based programs designed to improve health that target areas such as physical education, after school, early childhood and coordinated school health. SPARK aims to develop healthy lifestyles, movement knowledge, motor skills, and social and personal skills. SPARK programs include a package of highly active curriculum, training for teachers, extensive follow-up support and content-matched equipment that help to foster environmental and behavioral changes. SPARK curriculum is aligned with numerous state and national standards.

Target Behavior: Physical Activity

Intervention Type: Direct Education, Social Marketing, PSE Change

Color Me Healthy (CMH)

Color Me Healthy (CMH) is a direct education intervention designed to improve fruit and vegetable intake and increase physical activity (PA) among 4 and 5 year old children in child care and preschool settings by increased exposure to nutrition education and opportunities for PA.  CMH includes a developmentally appropriate curriculum that is highly visual and interactive. It uses color, music, dance and imaginary play to provide opportunities for PA and to teach children about fruits and vegetables.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education

Preschools Shaping Healthy Impressions through Nutrition and Exercise (SHINE)

Preschools Shaping Healthy Impressions through Nutrition and Exercise (SHINE) is a voluntary nutrition and physical activity recognition program for licensed child care centers and family child care homes in California. The program is designated for child care sites that participate in a federal child nutrition program, such as the Child and Adult Care Food Program or the National School Lunch Program and serve preschool aged children (ages 2-5). Funded by the California Department of Education ‐ Nutrition Services Division (CDE‐NSD), Preschools SHINE provides support to participating child care programs through on‐site coaching and targeted training, utilizing a team with expertise in nutrition and health. The overall goal of the program is to promote high‐quality nutrition and wellness practices at child care sites to support children’s health and readiness to learn.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: PSE Change

Ways to Enhance Children’s Activity and Nutrition (We Can!)

Ways to Enhance Children’s Activity and Nutrition (We Can!) is a national science-based education program designed for parents, caregivers, and communities to help children ages 8 to 13 years old maintain a healthy weight. We Can! focuses on the following behaviors:

  • Improved food choices
  • Increased physical activity
  • Reduced screen time

We Can! offers tips, fun activities, and resources to help parents and caregivers encourage these healthy behaviors in their family. It also offers organizations and health professionals with resources to implement science-based educational programming and activities for parents, youth and families in their community.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, Social Marketing

Ready, Set, Go!

Ready, Set, Go! is a web-based, self-assessment checklist designed for childcare directors who are evaluating and/or implementing wellness practices in childcare centers participating in CACFP. The checklist focuses on the nutritional and safety aspects of wellness in childcare centers. The resource is designed around 155 best practices that contribute to the achievement of 15 goals listed under two practice categories and 13 subcategories. Childcare directors may use specific sections of the checklist, or they may use the entire checklist to assess wellness practices and staff training needs in their centers. Directors first use the checklist to assess their center, and then they develop a “Plan of Action” based on the results of the completed checklist.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

National Early Care & Education Learning Collaboratives (ECELC)

The National Early Care & Education Learning Collaborative Project (ECELC) is a PSE change intervention that uses a learning collaborative model to promote healthy environments, policies, and practices in early care and education (ECE) settings. Participating programs serving children ages birth to five years work to improve policies and practices related to healthy eating, physical activity, screen time, and breastfeeding support. The project aims to increase the number of early child care and education (ECE) programs that meet the Let’s Move! Child Care best practices and Preventing Childhood Obesity (2nd edition) standards, selected from Caring for Our Children (3rd edition).

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Harvest of the Month (HOTM)

Harvest of the Month (HOTM) is a social marketing intervention designed to raise awareness of the benefits of eating fruits and vegetables and being active every day in a variety of settings including schools, daycare, and afterschool programs; retail food stores and farmers markets; health clinics; food banks; and worksites. HOTM provides materials for students, families, and the community to engage in hands-on opportunities to explore, taste, and learn about the importance of eating fruits and vegetables and being active every day. Resources provide the opportunity for collaboration among many partners and stakeholders, including educators, school nutrition staff, school administrators, students, parents, farmers, retail outlets, worksites, SNAP offices, after-school programs, and more.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: PSE Change, Social Marketing

Michigan Harvest of the Month (MiHOTM)

Michigan Harvest of the Month™ (HOTM) is a multi-level intervention designed to increase consumption of and access to fruits and vegetables; link child-focused nutrition education in schools with adult-focused supports in community-based food access settings; increase consumption of locally grown produce by connecting growers to their communities in school, child care, worksite, retail, farmers market, health care, and emergency food settings. HOTM features ready-to-go supplemental nutrition education materials that can easily be integrated into the core curriculum and are based on the current Dietary Guidelines for Americans.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing, PSE Change

New York State (NYS) Farm to Preschool

Farm to Preschool, a component of Eat Well Play Hard (EWPH), is a PSE Change intervention that focuses on an environmental approach to increase the consumption of fresh fruits and vegetables. Farm to Preschool objectives include (1) to increase parental access to locally grown produce and (2) to reduce the cost barriers to these healthy foods for parents with children in preschool and the staff who work there.

Target Behavior: Healthy Eating

Intervention Type: PSE Change; Direct Education