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P.L.A.Y: Playful Learning for Active Youth

Grant Team Members

Name Role in project

Jessica Brown Supervisor and coordinator

Eric Hinkle Investigator

Abby Larson Liaison for school and journals

Blake Voiles Director

Topic Area: ​3rd​​ -5​th​ grade after school students

Funding requested: ​$15,520.00

Abstract:
The intervention we will be implementing, P.L.A.Y. (Playful Learning for Active Youth), will
build upon the foundation set in place as a result of the information, experience, and successes of past
interventions, and combine them with the knowledge known about the educational influences a child’s
environmental factors has on learning to create a multidisciplinary approach that will not only affect a
child’s health short term, but a lifelong impact as well. Our P.L.A.Y. program plans on addressing the
need of childhood obesity by implementing an afterschool program for children grades 3-5, and their
parents/guardians, at a local community center. This program will be an eight-week program that meets
two nights a week. These meetings will consist of an educational piece focused on a health component,
nutritional or physical activity related, and the remaining portion will consist of organized
games/events that the children and their families can partake in. Each session will include handouts that
go over the topics covered to reinforce the educational pieces, as well as giving the families
information to refer to as they implement the things they learn into their own lives. Participants will be
measured at baseline, before the program, measured at the end of the program, and followed up with a
month after the program to evaluate the progress and results in areas of physical activity, BMI, and
behavioral/lifestyle changes. By the end of the program participants should be able to lead healthier
lives with better daily habits.
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Table of Contents:

Page 3 --------------------------------------------------------------------------------- Introduction/ Problem statement

Page 6 ---------------------------------------------------------------------------------- Methods

Page 9 ---------------------------------------------------------------------------------- evaluation and dissemination

Page 10 -------------------------------------------------------------------------------- Participants

Page 11 ------------------------------------------------------------------------------- Activities

Page 14 ------------------------------------------------------------------------------- Timeline of the program

Page 16 ------------------------------------------------------------------------------- Personnel

Page 18 ------------------------------------------------------------------------------- Budget and budget justification

Page 22 ------------------------------------------------------------------------------- References


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Introduction/Problem Statement
Obesity is an increasingly growing problem in the United States. Specifically, obesity affects one
of the most vulnerable populations: children. Truly turning into a health crisis that deserves
attention not only at the national level but in the local community of Butler County. At the
national level, the childhood obesity rate of ages 2-19 was 18.5% as of August 2018 (Sahoo et.
al, 2015). When examining these statistics at the state level, Ohio has a childhood obesity rate of
18.6% within the ages of 10-17. To add context to this data, Ohio ranks as the 6​th​ worst state
when it comes to childhood obesity rates among the ages of 10-17, showing an increased need in
this population at the state level (The State of Obesity, n.d.) Focusing in on the population of
Butler county residents, 31.7% of third graders in the Hamilton community are either overweight
or obese (Centers for Disease Control and Prevention [CDC], 2013). These statistics support that
obesity is a national problem and that Ohio particularly faces severe health risks. Even more
specifically, the health crisis of obesity carries over to the local level within the communities of
Butler County.
Childhood obesity holds immediate and long-term implications for the well-being those
affected. Trends show an increase in consumption of high-calorie foods, less nutritious foods.
Such habits limit the amount of sustainable nutrition children obtain, leading further to not just
obesity or being overweight, but to high blood pressure, high cholesterol, insulin resistance, joint
issues and musculoskeletal discomfort (Sahoo et. al, 2015). Obesity brings a myriad of
comorbidities and risk factors that may potentially lead to cardiovascular disease or type two
diabetes. In accordance with rising obesity rates, 39% of children between 5 and 17 years of age
have two or more risk factors for cardiovascular disease (Freedman, Mei, Srinivasan, Berenson,
& Dietz, 2007). Obesity is also highly correlated to a 60% increase in asthma among children,
while being overweight is related to a 52% increase in asthma (Sahoo et. al, 2015). This
epidemic is not just a physical issue in children; the psychological and psychosocial issues that
arise contribute to the health risks that coincide with obesity. Children who are obese are likely
to suffer from anxiety and depression, low self-esteem, bullying and stereotyping (Sahoo et. al,
2015). The source of the bullying is likely coming from their peers, making them despise
anything that has to do with meeting new people and being active in sports with them (Pizzi &
Vroman, 2012). Such detrimental experiences preclude social development and interest in
physical activity with other children.
To counteract the increasing rates of childhood obesity, Healthy People 2020 sets
health-promoting goals to improve the average child’s daily diet and lifestyle. One goal is to
increase fruit and vegetable consumption from 0.76 cups per 1,000 calories to 1.16 cups per
1,000 calories a day (​U.S. Department of Health and Human Services [HHS], 2019).​ This goal
recognizes the importance of plant-based foods in the diet, particularly in place of processed,
high-fat, and high-sodium foods. A more general goal hopes to reduce childhood obesity to 10%
(HHS, 2019). Decreasing obesity rate in children requires promoting healthy behaviors directly
to children and modifying their environments. In terms of the environment in Butler County,
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fast food restaurants are abundant. Along with offering cost-effective and generally less
nutritious food, fast food restaurants are a contributing factor of childhood obesity that is
essentially out of the child’s control (Jeffery, Baxter, McGuire, & Linde, 2006). Educating
parents and changing their behaviors is essential, as their involvement influences their children’s
habits.
Preventing obesity involves intervention of risk factors related to diet and physical
activity. After researching studies done and the effectiveness of previous interventions, programs
that were multidisciplinary, as opposed to focusing on a singular risk factor, were more
successful (Nigg et al., 2016). In order to effectively address the childhood obesity crisis, a
program must address multiple elements such as nutrition education, physical activity, fruit and
vegetable consumption, and environmental behavioral changes. Although children are the target
population, much of a child’s learning is self-directed, meaning the influences of caretakers,
parents, other children, and educators play a role in educational development (HHS, 2019).
Incorporating this information in the development of an intervention program for children
provides children a better chance of developing a foundation for healthy, low-risk lifestyle.
Diet plays a crucial role in maintaining a healthy body weight. In Ohio, surveys show
that 73.8% of adolescents ate less than two servings of fruit or 100% fruit juice per day over a
one-week period (Ohio Department of Health, 2012). Additionally, 89.4% reported eating less
than three vegetables, excluding fried potatoes, a day over the previous week (Ohio Department
of Health, 2012). 30.3% of adolescents surveyed drank at least one can of soda a day over a
one-week period (Ohio Department of Health, 2012). These statistics reveal high rates of
students not meeting the recommended servings of fruit and vegetables. Not only are most
adolescents not consuming nutritious foods, but many are also consuming sugar-sweetened
beverages in excess. The combination of high sugar intake and a lack of fruits and vegetables
can lead to malnourishment and obesity. In addition to diet, the other key component of weight
management is physical activity. The same survey finds that over the previous week, 28.6% of
the adolescents were active for at least 60 minutes each day, 35.7% of the students attended a
physical education class each school day, and 14.4% of the adolescents did not do 60 minutes of
physical activity any day (Ohio Department of Health, 2012). Another alarming finding was that
32% of the adolescents spent three or more hours a day in front of the TV after a school day
(Ohio Department of Health, 2012). These statistics show that a very large percentage of
adolescents were not getting the recommended levels of physical activity, and a large percentage
spend most of their time doing sedentary activities like watching television. The combination of
diets lacking in nutrient-dense foods while rich in energy-dense beverages along with sedentary
lifestyles contribute to increases in childhood obesity rates.
A variety of programs support the inclusion of parents in dietary and lifestyle
interventions intended for children. Carson & Reiboldt conducted a study in California for
kindergarten and fifth-grade students in which they participated in an after-school educational
program focused on physical activity and diet (2011). The parents attended two meetings during
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which they were told about the snacks the children would have, and they learned about the
details about the program. The students showed significant increases in nutritional and physical
activity knowledge in this program (Carson & Reiboldt, 2011). Similarly, another study that
involved both parents and children in the program resulted in greater decreases in BMI for the
children and increases knowledge for both the children and parents (Jacobson & Melnyk, 2012).
An additional two-phase study first involved a qualitative study conducted with parents to
identify possible ways to involve them in an obesity prevention program followed by a process
evaluation to assess the feasibility and acceptability of implementation. After phone interviews
with parents and focus groups with children, the study concluded that activities such as cooking
and physically active games involving both parents and children appears a feasible means of
involving parents (Kipping, Jago, & Lawlor, 2012). Additionally, a study reported that the
number of students eating from the salad bar at school nearly doubled the after being provided
with gardening, nutrition, food preparation, food safety, and physical activity education in an
after-school program (Hermann et al., 2005). A evidence-based review of research between
1990 and 2008 examined after-school programs focused on decreasing overweightness in
schools. Of the eleven studies that involved a prevention program combining nutrition and
physical activity, four studies reported significant improvements in BMI, while all eleven
reported significant improvements in either dietary intake, physical activity, or sedentary
behavior (Kropski, Keckley, & Jensen, 2008).
The intervention to be implemented, P.L.A.Y. (Playful Learning for Active Youth), will
build upon the foundation set in place as a result of the information, experience, and successes of
past interventions. Combining nutrition education and involvement on physical activity along
with parental involvement creates a multidisciplinary approach that will not only affect a child’s
health short term, but will create a lifelong impact as well. The P.L.A.Y. program plans on
addressing the need of childhood obesity by implementing an afterschool program for children
grades 3-5, and their parents/guardians, at a local community center. This program will be an
eight-week program that meets two nights a week. These meetings will consist of an educational
piece focused on a health component, either nutrition or physical activity related, and the
remaining portion will consist of organized games/events that the children and their families can
partake in. Each session will include handouts that go over the topics covered to reinforce the
educational pieces as well as give families information to refer to as they implement the things
they learn into their own lives. Participants will be measured at baseline before the start of the
program, measured at the end of the program, and followed up with a month after the program to
evaluate the progress and results in areas of physical activity, BMI, and behavioral/lifestyle
changes.
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Methods
Statement of problem

Obesity statistics over the last 40 years, for the United states, sheds light on a rapidly growing
problem that can be best described at this point as an epidemic. Over the last 40 years starting in 1990, the
obesity rate of most states was 10% or less. Compare this to the 2010 statistics, and that rate has more
than doubled to a point where most states have an obesity rate over 25% and many others even have an
obesity rate over 30% (Disease). This data shows an alarming trend and a clear indication of rapidly
increasing obesity that has turned into a health emergency. One of the biggest concerns with obesity is the
prominence in the youth population. In Ohio, children from ages 2-19 have an obesity rate of 18.5%.
(Robert) In Ohio, how is this issue expected to be addressed when the youth of this state cannot escape its
grasps. This builds a foundation in the lives of children consisting of associated risk factors such as poor
eating habits, lack of nutritional education, and a lack of physical activity that will carry over into
adulthood. In order to start making a positive progressive change in these statistics, we need to begin
implementing changes in the communities of the state. Butler County is not immune to the obesity
epidemic and neither are its children. A study done on 3rd graders in Butler County showed that 31.7%
were either overweight or obese (Community Profile: Hamilton County, Ohio 2013). This shows that
nearly a third of the 3​rd​ graders in Butler County are dealing with weight issues. As a county, how can it
be expected for the individuals residing to have a long healthy life when they are building their lives on a
foundation that promotes obesity. The children of this county deserve better and they deserve an
opportunity to grow and build a foundation that promotes health and education, not only as children, but
throughout their entire lives.

Goals and Objectives

Goal: To reduce obesity rates in 3-5th graders in attending Brookwood Elementary School in Hamilton,
Ohio.
Impact Objective: To decrease obesity rates in 3rd-5th graders in Brookwood Elementary School by 10%
by the year 2022.
Outcome Objective: By the end of the program, 3rd-5th graders should increase their regular physical
activity by 60 minutes a week.
Outcome Objective: By the end of the program, participants should increase their knowledge of nutrition
and physical activity as to raise the scores on the knowledge quiz by 25%.

Description of project

Our program, ​Playful Learning for Active Youth, or P.L.A.Y., ​builds upon the foundation built by
the experience and successes of past interventions to meet the overall goal of ​reducing obesity rates in
3​rd​-5​th​ grade students who reside in Butler County.​ The program provides education on the topics of
nutrition and physical activity as well as involves families in health-promoting activities. The
combination of education and hands-on involvement functions as a multidisciplinary approach that will
not only affect a child’s health short term, but will create a lifelong impact as well.
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The ​P.L.A.Y. program addresses childhood obesity by implementing an afterschool program for
th​
3-5​ grade students attending Brookwood Elementary School in Hamilton, Ohio. ​This eight-week
program will meet twice a week from 5-6pm on Tuesdays and Thursdays at the Hamilton YMCA. These
meetings will consist of an educational piece focused on a health component related to either nutrition or
physical activity, and the remaining portion will involve children and their families in organized
games/events. Nutrition education sessions will be conducted by a registered dietitian, and physical
activity information will be provided by a physical education teacher. The physical education teacher will
plan the games, which will then be led by Miami University student volunteers studying early childhood
education. Each session will include handouts that review the topics covered to reinforce the educational
pieces, as well as provide families with a reference as they implement program concepts into their daily
lives. Measurements of height and weight, self-reports of physical activity, and pre- and post-tests will be
taken to detect changes in BMI, physical activity, and knowledge at the beginning and end of the
program. These measurements will also be taken three weeks after the conclusion of the program to
evaluate the progress of families in maintaining healthy changes.
The structure of each session will vary slightly; some sessions will involve education along with a
game, cooking lesson, or discussion, and some session components target either students, parents, or both.
Each session will begin at 5:30 p.m. and take place on Tuesdays and Thursdays of the programs length.
RD’s, P.E. teachers, and Miami student volunteers are expected to be at the Hamilton YMCA 30 minutes
before the start time to help set up and have a pre-session meeting to cover any concerns. The first
meeting will be an introductory session that will include students and their guardians each taking a
nutrition knowledge pre-test containing a series of true and false questions about physical activity and
nutrition, school nurse taking baseline height and weight measurements of students for BMI calculations,
and the RD instructing on maintenance of a daily food and physical activity log. The second session will
feature the first nutrition lesson on the topic of fruit varieties as afterschool snacks; samples of various
fruits will be provided and a game of kickball played after. ​ During the second week, Session 3’s nutrition
lesson focuses on vegetables; again, samples will be provided and a game of tag played after. Session 4’s
nutrition lesson on whole grains will also include samples and a game of softball after. During Session 5,
freeze dance will be played following the nutrition lesson on lean meats and vegetarian protein sources.
Session 6 will be an introduction to easy recipes for guardians to prepare with their children, and a game
of basketball or duck-duck-goose will be played. Session 7 will include another cooking session with
parents and children, and no activity session will take place in order to allow families time to eat their
meal. Session 8 will introduce guardians and students to healthier desserts to make at home, such as fruit
parfaits, and families will submit their ideas for the next session’s recipe; the program directors will lead a
midpoint discussion and administer a quiz on what families have have learned thus far. Session 9
continues with another cooking session preparing the recipes families chose the previous session, and
students can choose an activity to play. Session 10 involves a discussion on the benefits of exercise,
allowing students and parents to talk about activities they want to do together. Session 11 allows parents
to bring in a recipe they know their children likes and the RD will work with families individually to
make nutritious changes to the recipe; a nutrition lesson on preparing healthier version of their favorite
restaurant meals will be conducted. During Session 12, children will play a series of activities including
tag, kickball, or freeze dance or with equipment on recess field; while the children play, the RD will meet
with parents to exchange experiences in helping their children make healthy choices for snacks and meals,
address barriers such as time constraints to preparing meals, and discuss money saving tactics. Only
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children will participate in Session 13 to allow them time to create friendships; an education activity
reviewing food and exercise logs to discuss which activities are more or less health-promoting. Session
14 will involve guardians and children in hands-on learning to washing fruits and vegetables as they
prepare a fruit salad. Session 15 will involve only students in a day of activity; students choose their
favorite activity and break out into groups to participate with the other children. Session 16 is expected to
be a longer session. Program directors will lead a discussion with families to recap on what they have
learned and any health-promoting behaviors they have adopted as result of the program. The post-test
will be administers and students’ heights and weights will be measured. A final game will be played, and
families will take home a recipe book for healthy school lunches and snacks.
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Evaluation

To summarize data collection methods, to assess the adoption of health-promoting habits by


families, students will maintain a daily food and physical activity log. These logs will be reviewed during
Session 3. To analyze participants’ nutrition knowledge, a pre-test will be administered during Session 1,
a midpoint quiz and discussion will take place during Session 8, and a final post-test and discussion will
be held on Session 16. The results of these tests will be analyzed statistically using a t-test. Additionally,
students’ heights and weights will be measured during Sessions 1 and 16 in order to calculate BMI; this
data will also be evaluated using a t-test. Finally, a follow-up email or letter will be sent to families three
weeks after the conclusion of the program to assess how often families engage in health-promoting
activities as discussed during the program.

Dissemination

In order to disseminate the results of our program, we will apply to different nutrition journals
such as the Journal of the Academy of Nutrition and Dietetics, Journal of the American Dietetic
Association, the Journal of Human Nutrition and Dietetics, and the American Academy of Pediatrics to
name a few. The information will also be available through the Miami University Libraries. The research
will also be available through some online sources such as researchgate. Because we want the information
available to parents and children in the community, we want it published in Butler county newspapers,
magazines, created as a youtube video, and shared through facebook. Flier and pamphlets in the local area
will also be shared. This will help us reach our goals of increasing activity and healthy nutrition in
children within the county.
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Participants

Number of participants expected to participate

The participants are 3-5​th​ grade students from Brookwood Elementary and their parents or
guardians. We expect 35 students to participate along with 1-2 of their guardians over the 8-week
program. Thus, there are an expected 30-60 guardians for a total of 60-90 people. Some students and/or
their guardians may drop out of the program during its duration.
Recruitment procedures

3-5​th​ grade students from Brookwood Elementary and their guardians will be recruited for this
program. To account for any students or guardians dropping out of the program, we will recruit 35
students. In order for both parents and students to know about the program, teachers will be instructed to
discuss the program and provide an informational pamphlet during parent-teacher conferences. The
informational pamphlet will include a statement showing that there will be a sign-up sheet in the main
lobby of Brickwood Elementary between the dates of 02/26/2020 to 03/17/2020. Once all the spots are
full however, a waitlist will be created in case those signed up drop the program. In order to have a broad
range of ages, the cut-off for 3​rd​ graders will be 12 students, the cut-off for 4​th​ graders will be 11 students,
and the cut-off for 5​th​ graders will be 12 students. The first 35 students within these parameters will be
accepted. Incentives will be used to help gain participants. Such incentive will include snacks and meals
during the program, free of cost. They will receive a $100.00 Kroger gift card at the end of the program as
well.
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Action/Activities Plan

Activity Objective Description of Person assigned to Expected results


components task

After School Reduce obesity This eight-week Program directors Expect this
program for ​3-5​th rates in 3​rd​-5​th program, program to
grade students grade students 16-session will contribute to the
attending who participate in meet twice a week long-term goal of
Brookwood afterschool from 5-6pm on reducing
Elementary programs in Tuesdays and childhood obesity
School in Butler County. Thursdays at the rates.
Hamilton, Ohio. (Impact) Hamilton YMCA.
These meetings
will consist of an
educational piece
focused on a
health component
related to either
nutrition or
physical activity,
and the remaining
portion will
involve children
and their families
in organized
games/events.

Students will Identify For the duration Registered Students will


maintain a daily health-promoting of the program, dietitian and indicate a more
log to provide for behaviors student physical education nutritious, varied
evaluation of (Outcome) participants will teacher diet over the
dietary intake and log the amount course of the
physical activity and type of food 8-week program
they consume as and more frequent
well as the type engagement in
and time spent physical activity.
engaging in
physical activity.
During Session
13, these logs will
be evaluated for
intake of
nutritious foods
and engagement
in physical
activity outside of
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program sessions.

Pre- and post-tests The test results The pre- and Program directors We expect there
at the beginning will be used to post-tests will be to be an increase
and end of the identify changes used to assess the in the number of
program. in knowledge as knowledge of correct answers on
result of students and their the quiz.
participation in parents before the
the P.L.A.Y. program and as a
program. result of the
(Outcome) nutrition
education
sessions. The
tests will cover
basic nutrition
concepts and take
less than 10
minutes to
complete.

Measure height Students Monitor BMI of School nurse At the conclusion


and weight of participating in 3​rd​-5​th​ grade of the program,
3​rd​-5​th​ grade the P.L.A.Y. students to detect students will
participants at the program will changes in obesity achieve or
achieve or rates. maintain a BMI
beginning and end
maintain a BMI within the the 5​th
of program.
within the healthy and 85​th​ percentile
range. range.
(Outcome)

Follow-up email By the end of the Families will Program We expect to have
or letter after the program, 3​rd​-5​th receive a coordinator at least 80% of the
conclusion of the grade students and follow-up email or participants
program. their parents who letter three weeks respond with
after the detailed
participate in the
conclusion of the information about
P.L.A.Y. program
program. The their experience
will ​report follow-up will ask with the program
behavioral/lifestyl if families and how they
e changes as result changed any have carried on
of the dietary or physical the behaviors
intervention. activity behaviors. taught during the
(Outcome) program

Nutrition Increase Lessons on: Registered We expect an


education sessions knowledge varieties of fruits, dietitian increase in
vegetables, whole knowledge of
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grains, lean nutritional


meats/vegetarian information.
protein
Midpoint
discussion
Money saving
tactics
How to prepare
fruits and veg

Engage in Increase Interactive lessons Youth PE teacher We expect an


physical activity participation in as well as games and student increase in
physical activity of kickball, tag, volunteers physical activity
jump rope, freeze participation and
dance, duck duck an increase in
goose, catch, physical activity
kickball self-efficacy.
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Timeline

Playful Learning for Active Youth will kick off once obtaining approval for the program to begin
from Brickwood Elementary school, this should occur around February 10, 2020. We will begin
recruiting student volunteers from the early childhood education department at Miami University,
physical education teachers, and registered dietitians for our staff. We will need five education majors,
allowing one to be assigned to six of the children during play time. Two registered dietitians will be
recruited along with two physical education teachers as paid staff members. Once obtained, they will go
through a training course one day a week between February 10, 2020 and February 28, 2020 providing
information about what they will be doing, how they will be doing it, creating meals to make during
nutrition lessons, and formating the food and exercise logs. There will be another session involving team
bonding at High Ropes on March 27, 2020.
During this time, program directors will be going to schools to give out an informational brochure
and inform the teachers about the program. The teachers will provide these brochures to parents and direct
them to the front lobby of Brickwood Elementary for sign ups. This signup sheet will be in the front lobby
from February 24, 2020 to March 16, 2020. Reminder emails will be sent out on March 16, 2020 to the
students parents for last minute sign ups or to be added to the waitlist.
The program begins on March 31, 2020 and lasts a total of 8 weeks with 16 sessions, one on each
Tuesday and Thursday of each week. The first session will start with the health evaluations, a true and
false nutrition and exercise quiz, and will provide information the daily exercise and food logs. The
midpoint re-test assessment will take place during session 8 (April 23, 2020). Session 13 (May 12, 2020)
will review these logs with the students directly. The final assessment will occur on the last day (May 21,
2020) and gather the health evaluation data for the last time, measure behavior change via the true or false
quiz, and obtain parent opinions of the program. There will be a three week follow up to test if behavior
change actually occurred and stuck with the members. Findings will be summarized and reported to
various journals including the Journal of the Academy of Nutrition and Dietetics, Journal of the American
Dietetic Association, the Journal of Human Nutrition and Dietetics, and the American Academy of
Pediatrics. Findings will also be reported directly to the elementary school before sent to journals.
15
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Personnel

The personnel for the P.L.A.Y. program will consist of the program directors, a registered
dietitian from the local Butler County area, a physical education teacher from a local school, a school
nurse from a local school, and student volunteers majoring in ​early childhood education at​ Miami
University. All personnel will attend a one-day, 3-hour training session before the start of the program.
Each individual will have experience and expertise in their respective field.
The program directors who have designed the P.L.A.Y. program will continue their involvement
throughout the program. Specific roles include leading discussions, administering pre- and post-tests, and
sending the follow-up email/letter after the conclusion of the program. In addition, the directors will be
on-hand to manage and assist the rest of the program personnel and ensure the program runs smoothly.
The investigator will be responsible for preparing and conducting the research. He will be ensuring full
cooperation of all parties and making sure the children are experiencing an ethical program. The
supervisor and coordinator will be responsible for making sure that there is cooperation between the
participants and volunteers/workers while also being responsible for ensuring availability of equipment
and food by talking to the local Kroger to get the materials needed. The school and journal liaison will be
responsible for providing information back and forth between us and the school principal, teachers, and
the superintendent to help with outreach in gaining participants. They will be responsible for developing a
relationship with journals to get our research published and to receive information on previous studies
done for comparison.
The two registered dietitian’s (RD) will be recruited from the local Cincinnati area and ideally
will have experience working with obesity and children. The Academy of Nutrition and Dietetics
Commission on Dietetic Registration will be used to find and contact qualified individuals. One such
person may be ​Susan Sewell, who works as a bariatric dietitian at Cincinnati Children’s Hospital Medical
Center Surgical Weight Loss Program for Teens. The RD will be responsible for educating students and
their guardians through nutrition education sessions, collaborating with the P.E. teacher to create relevant
handouts that review information covered in each session, and evaluate students’ logs of dietary intake.
The RD will be present at every meeting, coming in 30 minutes before meeting starts to assist with setting
up and one (1) hour after the meeting ends for clean up and to answer any questions the parents or
teachers have. Their training will occur on the week of 03/09/2020-03/13/2020 and will take 1 hour of
their time for those five days starting at 5:00 p.m. each day. Total hours per session will be 2.5 and total
hours for the program will be 45 hours. Their pay rate will be $30.00 per hour of time based on average
pay for registered dietitians.
The program also involves a physical education (P.E.) teacher and school nurse. These positions
will be open to professionals working in local Butler County schools. School principals will be contacted
to refer their physical education teachers and school nurses to the program directors. Interested
individuals in these positions will be interviewed and chosen based on merit, enthusiasm, and availability.
The two P.E. teacher’s will ​plan games and activities, collaborate with the RD to create handouts, and
evaluate logs of physical activity. Their training will occur on the week of 03/02/2020-03/06/2020 and
will take 1 hour of their time for those five days starting at 5:00 p.m. each day. Total hours per session
will be 2.5 and total hours for the program will be 45 hours. Their pay rate will be $25.00 per hour of time
based on average pay for P.E. teachers. The school nurse will measure students’ heights and weights in
17

order to calculate BMI. They will only be present at the start of the program, mid-program, and at the end
of the program and will be paid $20.00 an hour based on the average pay for school nurses.
Finally, s​tudent volunteers majoring in ​early childhood education at​ Miami University play a
crucial role in engaging student participants in the games and activities planned by the physical education
teacher. We will allow five (5) Miami students to come in and help lead and participate in the games and
activities alongside the RD and P.E. teacher, fostering excitement about being physically active and eating
healthy.These students will be in their Junior and Senior years, have experience working with children
and have community service experience to ensure a level of quality. Their training sessions will be during
the week of 02/24/2020-02/28/2020, however they will only be on the Thursday of that week for 2 hours
of that day starting at 5:00 p.m. These students will receive a reward of a $100.00 visa gift card at the end
of the program to thank them for their efforts. They will be volunteering 26 hours of their total time for
this program through their training, assist in setup 30 minutes before session start, and sixteen 1-hour
in-sessions. They are not needed for clean up although extra time will be welcomed.
18

Budget & Budget Justification


Generalized Budget:

Category Total Description of Fund Use

RD Salaries $2,700 Funds will be used for salaries


of the two (2) registered
dietitians (RD) for their 45 hours
of commitment to this program
at a rate of $30.00 per hour

P.E. teacher salaries $2,250 Funds will be used for salaries


of the two (2) physical education
(PE) teachers for their 45 hours
of commitment to this program
at a rate of $25.00 per hour

School nurse salary $60.00 Funds will be used for the 3


sessions lasting 1 hour where the
nurse is present to take BMI
measurements at a rate of $20.00
per hour

Volunteer reward $500 Funds will be used to provide


the 5 Miami students volunteers
a reward for their time spent
helping with the program

Participant gift card $3,500 Funds will be used to provide


each of the 35 families with a
$100.00 kroger gift card for
participating in the program

Training retreat $208.00 Funds will be used for staff


retreat at Miami’s outdoor
pursuit center ($16 per person,
13 people total)

Training materials $90.00 Funds will be used for training


materials including a packet
with notebook for writing down
activity ideas, methods of
pursuing the activity, what will
be needed, and other notes they
may take during activity
planning. Will need 9 notebooks
total ($5.00 each x 9) and 9
19

packets ($5.00 each x 9)


summarizing the programs
goals, objectives and schedule.

Informational material $645.00 Funds will be used to print


information packets ($5.00 each
x 125) for teachers and to print
flyers to put around the school
($1.00 print x 20)

Cooking workshops $2,450.00 Funding for food to purchase


ingredients for the 7 cooking
workshops
($350 per meal for 45 people x
7)

Snack $900 Funds will be used to provide a


snack during the meetings where
cooking workshop is not
provided
($100 x 9 sessions)

Hamilton YMCA facility use $1,600.00 Funding for gym and classroom
use for 16 sessions

Physical education activities $405.00 Funds will be used to purchase


balls, sports pinnies, jump ropes,
and softball equipment

Pre and post program health $56.00 Funds will be used to provide
evaluations and quiz the information to students and
guardians and to give quizzes to
both the parent and child

Post meeting handouts $35.00 Funds will be used to print an


overview paper of what was
discussed during the meeting
($1.00 print x 35 students)

Physical activity and food log $35.00 Funds will be used to printing
pages for student’s weekly
health log packets
($1.00 prints x 35 students)

Final data report $35.00 Funds will be used to provide


information to journals on
findings and to print packet to
give to principal and to develop
20

flyers with results on the results


found
(1 $5.00 packet, 100 x $0.30
flyers)

Miscellaneous materials $129.00 Funds for paper, pencils,


staples/stapler, markers.

Itemized Budget

Salaries

Item (s) Quantity Total

RD salaries 2 (45hr x $30) $2,700

P.E. teacher salaries 2 (45hr x $25) $2,250

School nurse salary 3hr x $20 $60.00

Volunteer reward 5 x $100 $500

Participant gift card 35 x $100 $3,500

TOTAL (SALARIES) $9,010

Equipment

Item (s) Quantity Total

Training retreat $16 x 13 people $208.00 $208.00

Training materials ($5.00 notebooks x 9)+ ($5.00 $90.00


information packet x 9)

Informational material ($5.00 each x 125)+ ($0.60 $637.00


print x 20)

Cooking workshops $350 per meal for 45 people x 7 $2,450.00

Snack 9 sessions x $100 $900.00

Hamilton YMCA facility use 16 sessions x $100 $1,600.00

Pre and post program health 35 x $0.60 print $21.00


evaluations handouts

Body scales 2 x $35.00 $70.00


21

Measuring tape 2 x $5.00 $10.00

Dodgeball 15 x $10.00 $150.00

Softball bats 2 x $30.00 $60.00

softballs 4 x $2.50 $10.00

Sports pennies 35 x $2.00 $70.00

Jump ropes 35 x $1.00 $35.00

Pre and Post program quiz 70 people x $0.30 for 1 page $21.00
printing quiz

Post meeting handouts $1.00 print x 35 students $35.00

Physical activity and food log $1.00 print x 35 students $35.00

Final data report packet 1x$5.00 $5.00

Final data report flyers 100x$0.30 $30.00

Pencils 2(144ct) x $11.99 $24.00

Staples 1 (5000ct) x $4.50 $4.50

stapler 2x$4.00 $8.00

Case of paper 3 (500ct) x $7.50 $22.50

Markers 10(4ct) x $7.00 $70.00

TOTAL (EQUIPMENT) $6,510

GRAND TOTAL: $15,520


22

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