- At the state level, one person should provide leadership and guidance for Eat Well Play Hard in Child Care Settings (EWPHCCS).
- The EWPHCCS Program Director, also at the state-level and preferably a Registered Dietitian (RD), should manage and oversee program implementation.
- For every 13-15 centers implementing EWPHCCS in one calendar year, one full-time equivalent (FTE) RD is needed to coordinate with the child care centers and deliver the program at each of the 13-15 centers. On average, 0.10 FTE administrative support staff is necessary to support each RD.
Training for RDs as direct educators:
New RDs are trained to become direct educators by the Child and Adult Care Food Program (CACFP) prior to implementation of the intervention. This comprehensive training includes discussions of the childhood obesity epidemic; SNAP-Ed and CACFP; history of EWPHCCS and future visioning; EWPHCCS curriculum, toolkit, and survey tools; and work plans, budgeting, reporting and fiscal requirements. The RDs also practice presenting child and parent classes from the curriculum.
Training for child care center staff:
The intervention uses staff training modules from the NAP SACC workshop to train center teachers, administrators, and food service staff. Five staff training modules are available – Childhood Obesity, Healthy Eating, Physical Activity, Personal Health & Wellness, and Working with Families. RDs teach at least two of the five modules to center staff. RDs work with the center director to determine which modules will be taught. RDs also have the option to use the EWPHCCS staff curriculum.
EWPHCCS curriculum (10 modules) can be downloaded free of charge (web link provided in Intervention Materials section).
Direct educators’ (RD) toolkit containing food preparation items and teaching tools (e.g. books, bowls, and utensils) used for implementing EWPHCCS costs $800 - $1000.
RDs purchase food and nonfood supplies needed to implement class activities. Examples of nonfood supplies include disposable dishware, construction paper, and incentives for parent class attendees. Additionally, Child Care Resource and Referral (CCR&Rs) agencies and the New York City Department of Health and Mental Hygiene (NYCDOHMH) have expenses such as office supplies, computer equipment and software, printing and copying of program materials, and postage.
Program travel expenditures for state staff include travel for trainings and to conduct child care site visits to monitor and provide technical assistance to the RDs. Direct educators (RDs) are also reimbursed for the costs of their travel to the child care centers and to attend training provided by the NYSDOH
Funding: In New York State, funding for EWPHCCS is provided by SNAP-Ed and NYS. These funds are used by contracting agencies to implement EWPHCCS in 15 centers per full time RD. In addition to staff salaries, this covers RD travel, food and supplies for class activities, handouts, and parent incentives. CCR&R agencies and the New York City Department of Health and Mental Hygiene (NYCDOHMH) are funded through one-year contracts with four, one-year renewal options. NYCDOHMH provides most of the local share funding to implement EWPHCCS in New York City child care centers.
For more details on the resources necessary to provide EWPHCCS in New York State in 2010, go to the Evaluation Materials section and access the SNAP-Education and Evaluation Case Report and see pages 22-23 of printed PDF or pages 42-43 of on-screen PDF.
Per Participant Program Cost: Cost per program participant is difficult to calculate and varies greatly depending upon the dose and amount of the intervention each client receives. In addition, costs for parent involvement in the interventions, and costs of indirect education (take-home materials) are hard to account for in any sort of cost allocation.
While more information is provided in the evaluation report, here is a summary statement for per participant program cost:
“It was determined that the logical construct for reporting cost per “participant” was to use the number of children participating in EWPHCCS statewide as the basis for calculations. Using Federal FY 2010 cost for statewide program implementation ($3,056,675) as the numerator and the total number of children who were participating in the program that year (10,314) as the denominator, the estimated cost per child participant was $296.36.”1
1Altarum Institute. The SNAP – Education and Evaluation Case Study Report: New York State’s Department of Health Eat Well Play Hard in Child Care Settings Program www.fns.usda.gov/ora/MENU/Published/snap/FILES/Other/SNAP-EdWave1EatWell_VolI.pdf. Published January 2012. Page 43. Accessed October 15, 2012.