Eat Smart to Play Hard

ESPH targets low-income elementary school students and their parents/caregivers at school and home, and specifically focuses on 8-11 year-olds in both rural and urban communities. While students are completing recipes and activities in their Fun Book at home, stamps from teachers, and the fun day occur at school. The campaign extends into the community by placing promotional materials where the target audience visits, including grocery stores, community and medical centers, state agencies, and more. ESPH has been implemented in 16 of the 33 counties of New Mexico with over 20,000 students and their families. A community expert component has been added to the program, which encourages and compensates a school parent champion to implement the campaign to increase reach in additional counties. Settings: Community-wide, Schools, Retail Age/Population Group: Elementary School, Parents/Caregivers  Race: All Ethnicity: Hispanic or Latino Origin

The core components of Eat Smart to Play Hard include displaying promotional materials for eight weeks, training teachers, introducing the game to students, collecting, stamping, and returning funbooks weekly, distributing incentives, hosting a 45-90-minute fun day celebration for all students, displaying progress posters in classrooms, distributing newsletters weekly to parents, and weekly announcements at school. An online version of the campaign is available for remote learning. ESPH was developed using the social marketing framework, including the four Ps of marketing (Product, Price, Place, Promotion), to produce a fun experience for children to eat more fruits and vegetables.  Each component was strategically designed to address the barriers, motivators, and values of the primary audience, so most components are not modifiable. The time allotment for the fun day and the level of participation from teachers to help students' complete Fun Book activities can be modified if needed. Through the wide-spread and continuous call to action of the Food and Nutrition Service's core nutrition messages chosen by the audience, ESPH helps create an environmental change in school, the surrounding community, and in the home. The campaign is designed to be intensive and supports healthy school initiatives along with other SNAP-Ed implementing agencies' direct education programming.

The Eat Smart to Play Hard materials include: Student materials: Activity book "Fun Book" with bookmarks and stickers Reusable stamp for teachers Classroom progress poster Promotional banners Promotional posters Student incentives: activity book, backpack, magnet, ball, water bottle, medal Campaign guidebook with quick guides Parent introduction letter and weekly newsletters Videos

In 2014-2015 using a matched control design, the prevention research center's evaluation team conducted baseline and follow-up surveys with three study groups consisting of three schools that received ESPH, a comparison group that included three schools receiving another SNAP-Ed program, and a control group comprised of three schools without SNAP-Ed programming . From baseline to follow-up, the mean number of servings of fruits and vegetables increased by 0.77 (p<.05) in the intervention group, 0.43 in the comparison group, and 0.42 in the control group. Among children who participated in ESPH, those who completed more than 75% of the funbook consumed 2.3 more servings per day of fruits and vegetables compared to those who completed less of the funbook. In 2016-17, a pre-post survey was distributed to 11 schools located in four counties across New Mexico. Survey results showed that among ESPH participants, the daily amount of fruits and vegetables eaten significantly increased from baseline to follow-up with a combined consumption of fruit and vegetables of more than one-half serving per day. Evidence Base: Practice-tested

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.   Readiness and Capacity - Short Term (ST) Changes - Medium Term (MT) Effectiveness and Maintenance - Long Term (LT) Population Results (R) Individual ST3 MT1     Environmental Settings       Sectors of Influence   MT12   MT1a: Behavioral changes related to eating fruit MT1b: Behavioral changes related to eating vegetables ST3a: Intentions or setting goals to increase physical activity and leisure sport (general physical activity or leisure sport) MT12a: Number of local agencies that sponsor a discrete, locally defined social marketing campaign and the number of counties or boroughs where they conducted local campaigns MT12b: Number of total media impressions, by outlet type (television, radio, outdoor, transit) used in a social marketing campaign, by demographic segment and geographic area (SNAP-Ed eligible and all others)

Website: The Eat Smart to Play Hard website includes formative research results, campaign strategies, parent newsletters, and funbook recipes. Contact Person: Glenda Canaca, MD Research Assistant Professor 505-272-4462 glcanaca@salud.unm.edu eatsmart@salud.unm.edu     *Updated as of August 8, 2023