Transforming Our Community's Health (TOUCH) Initiative

Abstract

One third of children under five years old from low income families in the US are obese or overweight, which is likely to continue into adulthood and is a risk factor for chronic diseases. The Transforming our Community's Health (TOUCH) initiative, aims to improve nutrition, physical activity and screen time policies and practices in preschool settings in order to reduce the incidence of obesity in 2-5 years olds in Broward County, Florida. A two-tiered system of training and support, based on the results of a needs assessment, was established. Childcare centers received nutrition education and physical activity resources and training to help the centers meet the “Caring for our Children” standards based on the second edition of “Preventing Childhood Obesity in Early Care and Education Programs.” Preschools were provided nutrition resources and physical activity equipment. Those schools who were assessed as needing more support, were given three technical assistance visits by Registered Dietitians. Over the past year, 136 technical assistance visits were made in Broward County preschools. After receiving technical assistance, 91% of the preschools met or exceeded the national standards for beverages, snacks, physical activity, screen time, and nutrition education. The TOUCH program is relevant to Registered Dietitians who are interested in reaching a vulnerable population and improving the lives of future generations across the country. The tools and program model will be discussed so that RD's can replicate the model to other communities in the country. Registered Dietitians can provide their expertise to train childcare providers and directors to make a difference in the lives of young children. The TOUCH initiative has impacted over 500 child care facilities in Broward County and can be easily and effectively replicated. This pro-active approach has the potential to create better learners, improve long term health and reduce childhood obesity.