Coordinated School Health Programs (CSHP) Conducted by State Education Agencies Fiscal Year 2: March 1, 2009–February 28, 2010 23 of 23 state education agencies responded A. POLICY Percentage of CSHP Projects That Assisted Districts or Schools in Policy Development or Policy Implementation on Each of the Following Health Education Topics Requirements for K-12 health education: 52% Certification requirements for health education teachers: 39% Nutrition education: 74% Physical activity for students as a regular topic within health education: 61% Tobacco-use prevention: 78% Percentage of CSHP Projects That Assisted Districts or Schools in Policy Development or Policy Implementation on Each of the Following Physical Education and Physical Activity Topics Requirements for K-12 physical education: 57% Certification requirements for physical education teachers: 48% Prohibiting use of physical activity as a punishment during physical education class: 65% Prohibiting exemptions or waivers for physical education participation for participation in other activities: 61% Daily recess breaks for elementary school students: 70% Physical activity breaks for elementary students:78% Prohibiting denying recess as a punishment: 74% After-school physical activity and/or intramurals and/or sports clubs: 78% Percentage of CSHP Projects That Assisted Districts or Schools in Policy Development or Policy Implementation on Each of the Following Healthy Eating Topics Access to school meals for all students: 78% Nutritional quality of all foods and beverages available on school campuses: 78% Limiting student access to foods or beverages outside of the federally regulated school meals program: 83% Requiring nutrition standards for all foods or beverages provided outside of the federally required school meals program: 74% Promoting school fundraising campaigns that consist of non-food items or healthful foods: 83% Classroom guidelines that discourage the use of food as a reward or punishment: 83% Actively promoting fruits and vegetables, whole grain foods, and low/non-fat dairy products to students: 83% Prohibiting all forms of advertising and promotions of less nutritious foods and beverages on school property:57% Percentage of CSHP Projects That Assisted Districts or Schools in Policy Development or Policy Implementation on Each of the Following Tobacco-Use Prevention Topics Prohibiting tobacoo advertising in school buildings, at school functions, or in school publications: 74% Tobacco-use programs or referrals for students or staff: 65% Enforcing tobacco-use prevention policies: 65% Prohibiting use of tobacco products by students, staff, parents, and visitors on school property: 83% B. HEALTH PROMOTION PROGRAMS AND ENVIRONMENTAL APPROACHES Percentage of CSHP projects that distributed model programs, guidance, implementation strategies, or other resource materials (excluding policy) on each of the following topics to help schools promote physical activity, healthy eating, and a tobacco-free lifestyle: Increasing physical activity opportunities during school-day breaks: 74%. Increasing physical opportunities during recess: 65% Planning or implementing walk-to-school initiatives: 61% Planning or implementing organized physical activity programs beyond physical education or competitive athletics: 61%. Improving the nutritional quality of school meals: 74%. Marketing healthy school meals: 57%. Improving the nutritional quality of school food and beverages outside of school meals: 70%. Marketing healthy school food and beverages outside of school meals: 61%. C. PROJECT PLANNING Percentage of CSHP projects that distributed materials to help districts or schools assess, plan, or coordinate school health programs through: District-level school health councils: 78%. School-level school health councils: 83%. School health coordinators: 78%. Percentage of CSHP Projects That Participated in Any of the Following Activities to Help Districts or Schools Use the School Health Index (SHI) or a Similar Tool to Assess or Plan School Health Programs Distributed the SHI or a similar tool: 87% Provided professional development on the SHI or similar tool: 70% Provided individualized technical assistance on the SHI or similar tool: 57% D. CURRICULA AND INSTRUCTION Percentage of CSHP Projects That Participated in Any of the Following Activities on Curriculum and Instruction for Physical Education Developed curricular standards or other guidance: 57% Had curricular standards guidance: 100% Distributed curricular standards or guidance: 83% Provided professional development on curricular standards or guidance: 70% Provided individualized technical assistance on curricular standards or guidance: 78% Percentage of CSHP Projects That Participated in Any of the Following Activities on Curriculum and Instruction to Address Content Areas of Physical Activity, Nutrition, or Tobacco-Use Prevention in Health Education 96% distributed physical activity curricula standards or guidance 78% provided professional development on curricular standards or guidance on physical activity 78% provided individualized technical assistance on curricular standards or guidance on physical activity 96% distributed nutrition curricula standards or guidance 83% provided professional development on curricular standards or guidance on nutrition 74% provided individualized technical assistance on curricular standards or guidance on nutrition 91% distributed tobacco curricula standards or guidance 70% provided professional development on curricular standards or guidance on tobacco 74% provided individualized technical assistance on curricular standards or guidance on tobacco E. ASSESSMENT OF STUDENT PERFORMANCE Percentage of CSHP Projects That Participated in Any of the Following Activities to Help Districts or Schools Assess or Measure Students' Knowledge and Skills for Physical Education 35% developed frameworks or guidelines 87% had frameworks or guidelines 57% distributed frameworks or guidelines 57% provided professional development on frameworks or guidelines 48% provided individualized technical assistance on frameworks or guidelines Percentage of CSHP Projects That Participated in Any of the Following Activities to Help Districts or Schools Assess or Measure Students' Knowledge and Skills for Physical Activity, Nutrition, or Tobacco-Use Prevention in Health Education 35% developed frameworks or guidelines 87% had frameworks or guidelines 74% distributed frameworks or guidelines 70% provided professional development on frameworks or guidelines 48% provided individualized technical assistance on frameworks or guidelines F. EXTERNAL COLLABORATION Percentage of CSHP Projects That Collaborated with Each of the Following External Partners Universities and other institutions of higher education (Physical Activity): 87% Local education agencies (Physical Activity): 87% National non-governmental organizations (Physical Activity): 91% Community-based organizations (Physical Activity): 70% State health coalitions or networks (Physical Activity): 87% Education organizations (Physical activity): 83% Universities and other institutions of higher education (Nutrition): 83% Local education agencies (Nutrition): 87% National non-governmental organizations (Nutrition): 83% Community-based organizations (Nutrition): 65% State health coalitions or networks (Nutrition): 87% Education organizations (Nutrition): 74% Universities and other institutions of higher education (Tobacco): 65% Local education agencies (Tobacco): 87% National non-governmental organizations (Tobacco): 70% Community-based organizations (Tobacco): 61% State health coalitions or networks (Tobacco): 87% Education organizations (Tobacco): 83% G. Youth at Disproportionate Risk for Chronic Disease Percentage of CSHP Projects That Identified the Following Populations of Youth as Being at Disproportionate Risk for Chronic Disease Related to Physical Inactivity, Unhealthy Dietary Patterns, or Tobacco Use Low income/low socioeconomic status youth (Physical Inactivity): 78% Low income/low socioeconomic status youth (Unhealthy dietary patterns): 70% Low income/low socioeconomic status youth (Tobacco use): 61% Academically at-risk youth or school districts (Physical Inactivity): 9% Academically at-risk youth or school districts (Unhealthy dietary patterns): 13% Academically at-risk youth or school districts (Tobacco use): 9% For further information or assistance on the Indicators, contact the Evaluation Research Team at ert@cdc.gov or via the CDC Web site at http://www.cdc.gov/healthyyouth/evaluation/index.htm.