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Elysse Andrews, Breanne
Baines, Aimee Burnett, Ella
Chaffin, Amy Hayden,
Ryder Schittone
Body Acceptance Program (BAP)
(Working with culturally, 2016)
1
Marybeth Goodwin
Grants Manager, Healthy Living
The Colorado Health Foundation
501 South Cherry Street, Suite 1100
Denver, CO 80246-1325
Dear Ms. Goodwin:
We at Beyond the Mirror are always striving to empower and improve the lives of individuals
and families affected by issues pertaining to self-esteem and healthy nutritional choices. We
offer a variety of interventional counseling services including unique art and yoga therapies. Our
staff encompasses multiple counselors, nutritionists, and eating disorder specialists who share
our agency’s passion for the genuine and sustainable betterment of lives of those struggling with
unhealthy eating or exercise behaviors. Since we have found our current intervention services to
be effective, we are seeking to implement additional curriculum to an existing program for high
school freshmen concerning the topics of nutrition, healthy cognitions regarding exercise, and
body positivity.
Research indicates that people between the ages of 15 and 20 are at the highest risk for
developing disordered eating habits. The highest percentage of all reported eating disorders are
from this age group. This makes sense when considering the social pressures and comparisons
associated with puberty. With the particularly salient focus on fitness in Colorado, there are
even greater feelings of pressure experienced by adolescents going through puberty. Without
resources and curriculum available to those at this sensitive and arguably fragile age, the
prevalence of eating disorders will likely only continue to grow.
Consistent with your foundation’s emphasis and passion for improving the health and wellness
of all Coloradans, we believe addressing the issues of body positivity, nutrition, and healthy
exercise is crucial. With a lack of current significant access to education pertaining to body
image and healthy nutrition, this poses a staggering risk for adolescents to develop unhealthy
behaviors, exercise, and/or eating habits. Similar to your organization, we hope for Colorado
adolescents to become America’s healthiest of this age group. We believe that becoming
trailblazers for education pertaining to these important topics will help achieve that goal.
With our proposed Body Acceptance Program (BAP), we are confident that we will be able to
increase knowledge surrounding nutrition, exercise, self-esteem, and body image for freshmen at
Bear Creek High School, and potentially students statewide. Adding education on nutrition,
exercise, and body image is an essential addition to the existing peer mentoring program at Bear
Creek High School. Our proposed curriculum will offer significant information on these topics
in a supportive space with opportunities for discussion, support, and activities. In order to
achieve these goals, we request a total of $5,415 for the development and implementation of this
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valuable curriculum. If you have further questions, please feel free to contact Ryder Schittone at
(999) 999-9999. Thank you kindly for your consideration.
Sincerely,
Elysse Andrews (Outreach Coordinator) Breanne Baines (Nutritionist) Amy Hayden (Therapist)
Ryder Schittone (Art Therapist) Aimee Burnett (Yoga Therapist) Ella Chaffin (Psychiatrist)
Agency Information
Beyond the Mirror is an agency that has offered counseling services and education to the
population of Fort Collins and surrounding areas in Northern Colorado since 2012. Our
counselors specialize in helping individuals who suffer from multiple forms of disordered eating
and body image issues through group and individual therapy. Our population consists of 80%
females, about half of which are adolescents. We currently serve about 15 new patients a day
who are most often suffering from eating disorders, depression, and anxiety. On average,
we serve an estimated 200 clients per year. We have 12 counselors at Beyond the Mirror as well
as a number of interns and volunteers. Our mission is to help individuals and families receive
the support they need to make healthy and positive choices that will benefit their overall well-
being. We are also extremely invested in community outreach through our 501c3 non-profit
program, Love What You See.
Love What You See focuses on empowering individuals to look beyond their physical
appearance and focus on the other valuable qualities that they possess. We strive to accomplish
this mission by offering services that are free or low-cost to the community. These services
include presentations on topics such as eating disorder awareness and prevention. In 2015, we
gave approximately fifteen presentations to a total audience of over 3,000 community members
of all ages. Our community outreach services are offered through educational trainings and
workshops for educators, coaches, and parents in local schools, as well as other community
organizations. Similarly, Love What You See provides parental guides to help develop
children’s self-esteem, positive body image, self-acceptance, and self-care. We also partake in
local Eating Disorder Awareness Week events, such as the National Eating Disorder walk
fundraiser and the Mountain Avenue Mile.
Problem Statement
During adolescence, it is well known that youth will undergo bodily changes associated
with puberty. A point of concern is that during this developmental stage, it is normal for
adolescents to compare themselves and their body types with peers (Carney & Scott, 2012). This
comparison increases the risk of body dissatisfaction in this age group. Relatedly, adolescents
and young adults between the ages of 15 and 20 years old have the highest rate of eating disorder
(ED) emergence compared to other age groups (Carney & Scott, 2012). While this age group
experiences a significantly higher rate of eating disorders (EDs), in 2012, 1 in 5 adolescents in
the United States also experienced obesity (Centers for Disease Control [CDC], 2015a). When
the CDC (2015a) included adolescents who were overweight or obese, 1 in 3 adolescents were
affected. Research also suggests that cisgender persons, and transgender males and females, as
3
well as individuals who identify outside of the gender binary are susceptible to the causes of low
self-esteem, EDs, and other psychological issues (Jones, Haycraft, Murjan, & Arcelus, 2016;
Murray & Touyz, 2012). Therefore, it is important to include these individuals in prevention and
intervention programs. To our knowledge, there are few resources available to individuals who
do not identify as heterosexual females. Consequently, it is pertinent to include all students in
our proposed universal prevention program, which is related to unhealthy eating and body image
concerns. The educational topics of this proposed program will include increasing healthy
nutrition, healthy cognitions regarding exercise, and body positivity.
When considering nutrition concerns, the CDC (2015b) found that fewer than half of the
United States’ children and adolescents met the minimal recommendations for fruits, vegetables,
and whole grains. However, nearly half of youths’ total calories came from empty calorie
sources such as soda, desserts, and processed foods. In this investigation, adolescents consumed
on average, between 14 and 22 ounces of full-calorie soda each day (CDC, 2015b). By
providing nutrition education to teens in the Body Acceptance Program (BAP), we hypothesize
that this will increase the salience of how to select healthier options, to think about the nutritional
value of their food selections, and consequently, decrease the risk of obesity. To more
thoroughly address the topic of having a healthy weight, education on effective exercising must
also be discussed.
In order to reduce people’s risk of becoming obese or developing an ED, in addition to
addressing nutrition, it is also important that people understand healthy ways to view
exercise. Potentially healthy (e.g., “to reduce tension”) verse potentially unhealthy (e.g., “to
have a good body”) motivations to exercise are included in the Exercise Motivations Inventory
(Markland & Hardy, 1993, p. 2). Related to EDs is the finding that correlations between EDs
and excessive physical activity exist (Keyes et al., 2015). Keyes et al. (2015) found that
although those with EDs, those without EDs but with moderate anxiety, and healthy controls
reported exercising similar amounts, the control group and those with anxiety versus having
Anorexia Nervosa (AN) reported different reasons to exercise. Specifically, those with AN
emphasized improving the appearance of their bodies (i.e., amount of tone) while the other two
groups (i.e., moderate anxiety and healthy controls) emphasized health and leisure as motivations
(Keyes et al., 2015). In programs, focusing on healthier reasons to exercise and thoughts about
one’s body have been shown to be effective at improving body image (Levine & Smolak,
2016). Rather than emphasizing weight or appearance, an after-school program for 10- and 11-
year-old females emphasized valuing the uniqueness of body shapes, mindfulness, and focused
on integrating mental and physical health (Levine & Smolak, 2016). Mental health experts and
school staff engaged the participants in yoga (i.e., physical activity) and trained them in
relaxation techniques in order to “cultivate mindfulness, attentive self-care, physical strength and
flexibility, and emotional regulation” (Levine & Smolak, 2016, p. 40). The healthy exercise
cognitions that were emphasized in the program by Levine and Smolak were improving strength
and increasing flexibility. These data showed that those who participated in the program had
significant decreases in body dissatisfaction and impulsive overeating (Levine & Smolak, 2016).
Body comparison between peers is typical in adolescents, which increases the risk of
having a poor body image (Carney & Scott, 2012). This is related to the finding that having a
poor body image is a risk factor for ED development (Levine & Smolak, 2016). Undesirable
consequences of having a poor body image do not just affect those at risk for EDs; they also
affect children who are obese (Food Research and Action Center [FRAC], n.d.). The FRAC
(n.d.) stated that youth who are obese are more likely to become depressed or experience
4
increased levels of anxiety. Levine and Smolak (2016) summarized the results from a program
for youth which emphasized more abstract ideas such as living powerfully, inner sensitivity,
accepting and appreciating one’s body, and assertiveness. The results indicated long term effects
of reducing negative self-talk and the idealization to be slim, while increasing body satisfaction
and self-esteem. These after-school universal prevention programs suggest that valuing health,
strength, and self-acceptance, as opposed to weight or thinness, could help reduce risk factors
and increase protective factors for EDs longitudinally (Levine & Smolak, 2016).
Needs Assessment
We are proposing adding curriculum related to the prevention of eating disorders (EDs)
to a peer mentoring program that currently exists at Bear Creek High School (BCHS) in
Lakewood, CO, which is located in Jefferson County. To our knowledge there are no available
data regarding the percentage of adolescents specifically at BCHS who experience disordered
eating. However, in Colorado, the eating disorder (ED) rates are particularly worrisome because
in 2015, the state had the 5th
highest rate of EDs in the country (Columbia Broadcasting Systems
[CBS], 2015). While pressures to be slim and ED rates increase, conversely, 1 in 5 Colorado
high school students is overweight or obese (Colorado Department of Public Health and
Environment [CDPHE], 2015). As Coloradans celebrate that their state has, overall, the
healthiest Body Mass Index (BMI) compared to other states, Colorado also has the 2nd
highest
increasing rate of childhood obesity (Schmidt, 2012; The State of Obesity, 2015). This is likely
influenced by nutritional risk factors associated with obesity, which include poor dietary choices,
accessibility to processed foods, and sugary drink consumption (CDC, 2015b; Martinez,
2015). Given the high rate of EDs and childhood obesity rates in Colorado, reform of school
programs to increase education on health is imperative (CBS, 2015). Specifically, increasing
high school adolescents’ knowledge and understanding of 1) nutrition, 2) healthy cognitions
regarding exercise, and 3) positive body image are necessary additions to Colorado’s school
curriculum.
Given that many EDs are undiagnosed and/or untreated, and Colorado has the 5th highest
rate of EDs, it is likely that a significant portion of the 1,700 total students at BCHS struggle
with disordered eating behaviors (CBS, 2015). There is a variety of resources for EDs that exist
near Lakewood, CO such as counseling outside of school, support groups, and facilities geared
toward recovery (Eating Recovery Center, n.d.). However, these resources typically require
private insurance to which some students may not have access. Consequently this reduces access
to those without the financial capability to utilize these services (Eating Recovery Center,
n.d.). Schools also have high school counselors available to support students. These counselors,
however, may feel unequipped to address specific eating related concerns in the school setting
(Carney & Scott, 2012). The current peer mentoring program at BCHS consists of topics such as
bullying, academic support, communication etiquette, and accessing physical and behavioral
health resources (R. Schittone, personal communication, February, 2016). The program meets 4
times per week for 25 minutes during the lunch period. We are suggesting that we reform the
existing Tuesday curriculum to educate students on nutrition, healthy exercise cognitions, as well
as body image and acceptance. Our proposed curriculum change will educate and give an outlet
to discuss these issues to high school students; a population that is known to be at an increased
risk of body image concerns and the development of eating disorders (Carney & Scott,
2012). This proposed peer mentoring program will reach approximately four hundred twenty-
5
five freshmen with 50 mentors over the course of one academic school year. Counselors at
BCHS will work with Love What You See, the non-profit sector of Beyond the Mirror
Counseling and Wellness, to educate the peer mentors and school counselors, as well as to
develop a schedule for the program. Training will take place during the week before the start of
the fall semester. Every Tuesday of the academic year, freshmen and their upperclassmen
mentors will meet. They will discuss nutrition, healthy exercise habits, and body image
concerns. Without resources like our proposed Body Acceptance Program, the prevalence of
eating disorders and obesity will likely continue to increase.
Target Population
Our target population will be freshmen at Bear Creek High School (BCHS) in Jefferson
County. According to Start Class (2016), on average, BCHS serves roughly four hundred
twenty-five freshmen per year. BCHS is comprised of a population consisting of students who
identify as 56.5% Caucasian, 29.5% Hispanic, 9% Asian, 1% Black, 1% Native American, and
2% of students identifying as mixed race. The data are not stated for the remaining 1%. The
gender distribution is fairly balanced with 52.6% of the population being male and 47.4% being
female. It is unclear whether or not these data represent the students’ self-identification or their
biological sex. The median household income in Lakewood, CO is $52,512 per year. This is
above the National School Lunch Program’s eligibility threshold for free or reduced lunch (Start
Class, 2016). In order to be eligible for free lunch, students’ annual household income must be
equal to or below 130% of the poverty line. Roughly 56.4% of students at BCHS are ineligible
for free or reduced lunch, 37.8% of students are eligible for free lunch, and 5.8% are eligible for
reduced-cost lunch (Start Class, 2016). This trend demonstrates a wide socioeconomic bracket
of students served at BCHS. The incoming freshmen of the 2017-2018 school year will all be
required to have participated in our program in order to advance to a sophomore status in our
proposed program, Body Acceptance Program (BAP). BAP will partner with the current peer-
mentor program established at BCHS and will include our added content addressed once per
week over the course of the 2017-2018 school-year.
Goals and Objectives
Goal 1: To decrease the incidence of unhealthy behaviors and cognitions related to eating,
exercise, and body image in high school freshmen students.
Objective 1.1: Participants, on average, will report a statistically significant increase in
knowledge and understanding of nutrition and balanced diets by the end of the
intervention as measured by pre and post-tests.
Objective 1.2: Participants, on average, will report a statistically significant increase of
healthy cognitions regarding exercise as measured by pre and post-tests.
Objective 1.3: Participants, on average, will report a statistically significant increase in
body image esteem, as measured by pre and post-tests.
Objective 1.4: 25% of participants will report an interest in becoming future mentors
within this program by the end of the intervention.
6
Methods
As previously discussed, adolescents are at an increased risk for social comparison which
consequently increases the risk of body dissatisfaction (Carney & Scott, 2012). This aligns with
the heightened risk of adolescents developing eating disorders (EDs), maladaptive cognitions and
behaviors regarding nutrition, exercise, and body image (Carney & Scott, 2012). As this risk of
adolescents developing EDs exists, 1 in 3 Colorado adolescents is also overweight or obese
(CDC, 2015a). Our proposed universal prevention program, the Body Acceptance Program
(BAP), aims to address these issues. The BAP will target the approximately four hundred
twenty-five incoming freshmen at Bear Creek High School (BCHS) in Jefferson County over the
course of the 2017-2018 school-year. BAP will partner with the school-counselor supervised
peer-mentor program that is currently established in BCHS in order to include the
underaddressed elements of nutrition, exercise, and body positivity, which significantly impact
adolescent students. BAP will take place every Tuesday of the 2017-2018 school-year from
11:20-11:50. The students will then be released for lunch until 12:10. Peer mentors will
implement daily curriculum, with a supervising teacher in the classroom, for the first 10-15
minutes which will be followed by small-group discussions and/or activities for the remainder of
the time period. The goal of BAP is to decrease the incidence of unhealthy cognitions and
behaviors related to nutrition, exercise, and body image through the implementation of a peer-
mentor led educational program targeting freshmen. The program will assess students’ initial
levels of knowledge regarding balanced diets, cognitions surrounding exercise, and body image
esteem through the use of pre-test measures administered at the start of the 2017 fall
semester. Our program will implement curriculum related to nutrition, exercise, and body image
once weekly during the normal peer-mentoring program delivery times over the course of the fall
and spring semesters on BCHS campus. The program’s efficacy will be measured by
administering a posttest related to target cognitions and behaviors at the end of the 2018 spring
semester and comparing the results to those of the pre-test. The program will only run once over
the course of the 2017-2018 school year. If BAP yields statistically significant results, efforts
will be made to continue the program at BCHS as well as other high schools in the area.
Program Staff
Our proposed program staff will consist of a Program Coordinator (i.e., a therapist from
Beyond the Mirror), 4 school counselors and 20 teachers from BCHS, and 50 peer mentor
volunteers. In addition to the program staff, there will be approximately four hundred twenty-
five freshmen participants. The paid Program Coordinator will develop the program’s
curriculum, train the school counselors, teachers, and peer mentors, oversee any questions or
concerns regarding the program, and conduct evaluations of the program’s success. The
program’s success will be measured by calculating the statistically significant differences (if any)
between the pretests and posttests. The Program Coordinator will dedicate a total of 55 hours to
the program. Thirty-five of the these hours will be spent developing the curriculum, 7.5 hours
will be spent traveling to and from BCHS, 4 hours will be spent training the mentors and
teachers, and 8.5 hours will be spent on data analysis.
The participants of our proposed Body Acceptance Program (BAP) will consist of a
captive freshmen audience from Bear Creek High School (BCHS). Incoming freshmen will be
required to complete the yearlong program in order to advance to sophomore
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standing. Upperclassmen peer-mentors will be recruited from the already-established peer-
mentoring program at BCHS. Peer-mentors will need to have expressed a desire to participate in
the program during the previous spring semester and completed an online application. If they do
not have access to a personal computer at home, they will be able to apply on one of the school-
provided computers. Students will be selected as peer-mentors based off of their personal
application, previous active engagement in the currently established peer-mentor program, and
personal qualifications that they state in their application.
There will be 20, 30 minute Body Acceptance Program (BAP) groups held throughout the
2017-2018 academic year. These groups will meet at the beginning of each Tuesday lunch
period and will be held in classrooms at BCHS. There will be one teacher for each of the 20
BAP groups for a total of 20 teachers. Since we cannot precisely predict how many students will
actually enter the 2017-2018 freshmen class, each BAP classroom will have two to three peer-
mentors depending on each classroom’s actual number of freshmen participants. Hence, there
will be 50 peer-mentors involved in the program.
We will establish 1 school counselor who will be the main point of contact for the BAP
teachers, peer-mentors, and freshmen participants. The salaried school counselors at BCHS will
review the prospective peer-mentors’ applications and notify them of their acceptance or
rejection. Given the existing number of students at BCHS, we anticipate that approximately one
hundred six students will apply for peer mentoring positions. We predict that reviewing each
application will take the school counselor approximately twenty minutes for a total of 35.3 hours
to review all applications. The application review process will not be considered an in-kind
donation because school counselors’ primary responsibility that is accounted for in their salaries
is to support students, help students enroll in specific classes, and provide counseling. The
school counselor will use a school-provided database to automatically enroll all freshmen in the
program. This counselor will also lead 15 minute, bi-weekly meetings with the mentors for 30
weeks to equate a total of 15 meetings. This will be considered an in-kind donation because the
counselor’s school-determined salary will cover the time spent on these meetings. The school
counselor will work approximately forty-three total hours. The teachers involved in the program
will each work for approximately twenty hours, including the time spent in training and
supervising the BAP groups; this will also be considered an in-kind donation.
The program training will take place at BCHS the week before school begins in
August. In addition to the 3-day training program that the mentors are currently required to take
part in, our program will require 3-4 hours of additional training depending on the trainees’
program-title (i.e., 4 hours for teachers and counselors; 3 hours for peer mentors). The Program
Coordinator will meet with the school counselor and teachers for the first hour of the additional
training day to instruct them on how to lead the peer mentors through the implementation of the
program. The Program Coordinator, school counselors, and teachers will then lead the
remaining 3-hour training session during the additional training day for the peer mentors. They
will teach the peer mentors how to implement the curriculum content, which is designed for
freshmen. They will also teach the mentors how to facilitate the activities and discussions
related to the BAP. During this training, the Program Coordinator will also educate the teachers
and mentors on how to administer the pretest and posttest evaluations. The Program Coordinator
will not be present during pretest and posttest administration, but will return to BCHS 2 times in
order to first, retrieve the pretest data, and second, to retrieve the posttest data at the end of the
program. These data will be utilized for program analysis.
8
In the existing program, each peer mentor currently receives a binder that contains the
necessary materials for implementing the freshmen mentoring program. Each peer mentor will
receive an additional 1 page, BAP handout per week for a total of 30 weeks. Given that there are
50 peer mentors, this will add a total 1,500 additional 1-page handouts to the currently provided
mentor binders. The mentors will use the binder as a reference for leading the program’s
activities.
For each day of the intervention, the peer mentors will facilitate the group, which will be
supervised by the teacher who is present in the assigned classroom. Peer mentors will display
the freshmen participants’ session activities and discussion prompts on a PowerPoint via the
school’s provided projectors. The peer mentors will volunteer their time for trainings, meetings,
and leading the program sessions resulting in a total of 21 hours and 45 minutes. The peer
mentors will be given a certificate upon successful completion of the mentoring program, and
will have the option to purchase honor cords for graduation. At the end of the program, the
coordinator will return to BCHS to retrieve the posttests, answer any questions or concerns
regarding the BAP, and to get feedback for potential future sessions of the program. After
collecting the posttests, the Program Coordinator will conduct a data analysis in order to
compare the statistical significance (if any) of the pretest and posttest results and the programs’
efficacy.
Activities
In order to decrease the concerns mentioned in our problem statement (i.e., nutrition
knowledge, unhealthy cognitions about exercise, and poor body image in adolescents), our Body
Acceptance Program (BAP) will incorporate both educational and interpersonal components. To
improve adolescents’ knowledge on nutrition and healthy eating, the students will participate in
educational sessions, discussions, or activities related to nutrition, exercise cognitions, and body
image. This will be led by the peer mentors. The components of the nutrition education sessions
teach students how to reduce the consumption of sugary and/or processed foods and
beverages. They will also educate students on selecting healthy portions, eating all foods in
moderation, and consuming the daily recommended values of food categories. The interpersonal
components will be related to healthy cognitions regarding exercise and body self-esteem. The
activities to improve healthy cognitions regarding exercise will be, primarily, interpersonal in
nature. Students will have small-group discussions on potentially healthy and unhealthy reasons
people exercise. An example of an activity is to have each group member state a healthy reason
(e.g., to improve my blood pressure, to have a healthy weight etc.) and then engage in short
discussions. BAP will also incorporate additional discussions on how to view exercise positively
and healthfully. To address the objective of improving body image, students will have
interpersonal discussions. The activities in these sessions will emphasize acceptance around
unique body shapes, living with empowerment, and inner sensitivity. To address the objective of
encouraging freshmen participants to become future peer mentors, the peer-mentors will
frequently remind the mentees that they have the opportunity to become future-mentors and
encourage them to consider their participation as mentors. At the end of BAP, the mentees will
complete a survey that asks them whether or not they have a desire to participate as future
program mentors and will provide the web link that leads them to the online application.
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Schedule
Tuesday Lunch Periods (11:20-12:10)
11:20- 11:35: Brief introduction to the day’s education information, discussion-content, and/or
the activity-content (i.e., nutrition, exercise, or body image)
11:35-11:50: Implementation of peer-mentor led discussion or activity content related to
nutrition, exercise, or body image
11:50-12:10: Students and mentors are released for lunch
Time Table
April 2016: Peer-mentor applications are due by April 6th. Peer-mentors will be selected by
school counselors and notified of their acceptance or rejection to the program by the end of
April.
May – July 2017: Program Coordinator will begin to develop the curriculum for the Body
Acceptance Program (BAP). Curriculum content will reflect information related to nutrition and
exercise awareness, as well as body positivity and related issues.
August 2017: Program Coordinator will train school counselor, teachers, and peer mentors
during a one day, 4-hour training session. This session will be in addition to the existing 3 day
training program. Training will cover program curriculum, implementation methods, and
evaluation procedures. Teachers and school counselors will participate in a 1 hour training
session in order to understand their responsibilities as supervisors. Peer-mentors, teachers, and
school counselors will attend a 3 hour training session where they will review the curriculum’s
content related to BAP and discuss implementation methods as well as how to facilitate students’
discussions and activities.
August 2017- May 2018: BAP will run once weekly throughout the entire school-year. Pre-tests
will be administered during the first session, and post-tests will be administered during the final
session.
Other Participating Organizations
Our proposed Body Acceptance Program (BAP) curriculum will be implemented at Bear
Creek High School (BCHS) in Lakewood, Colorado. BCHS is a part of Jefferson County Public
School District. There will also be members of the school’s teaching staff who will be present
during class times to provide supervision. Rather than hiring outside mentors and facilitators,
sourcing volunteers from the school itself will save on a significant portion of the costs that
would otherwise be necessary.
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Future funding
We will need significantly less funding in future years and academic semesters as we will
not need to pay for curriculum development. This will save $2,800 per year after one year, or
two semesters. After the first year, this will drop our total program cost down 13% and will
change our requested amount to a $2,450 requested cost for the second year. If we decide to
continue for a third year, we will no longer need curriculum development which will bring our
requested cost for the program down to $450 for one school year. At this point, if we decide to
continue, we will have the school board supply us the funds for this program.
Evaluation
During the first and last meetings of our intervention, the freshmen participants will take
a 44 item survey developed by the University of Massachusetts’ Amherst Department of
Nutrition (n.d.) to evaluate their existing knowledge of nutrition. This survey evaluates
knowledge concerning fats, oils, sweets, weight loss, serving sizes, protein, fiber, carbohydrates,
fruits, vegetables, etc. (University of Massachusetts, n.d.). The results will be documented and
analyzed for a statistical significant change in knowledge and understanding regarding human
nutrition (Objective 1.1).
In order to reduce people’s risk of becoming obese or developing an ED, it is important
that people know healthy ways to view exercise. Participants will complete the Exercise
Motivations Inventory by Markland and Hardy (1993), which assesses people’s motivations to
exercise. Examples of healthy motivations to exercise include those from the Exercise
Motivations Inventory such as, “to have a healthy body” and “to reduce tension” (Markland &
Hardy, 1993, p. 2). Depending on current BMI status, healthy reasons for exercise may be “to
lose weight” or “to have a good body” (Markland & Hardy, 1993, p.2). To compare the pretest
and posttest knowledge of participants’ exercise cognitions, participants will complete this
survey at the first session, and then complete this survey again at the final session (Objective
1.2).
With a preliminary test and an exam upon completion of our program we plan to measure
increase in body-esteem in our participants. We will use the Measure of Body Apperception
(Carver et al., 1998). This instrument was developed to determine the dependence one has on
their body-image in relation to self-worth (Carver et al., 1998). The goal of this assessment is to
measure one’s appreciation of their body (Objective 1.3).
Finally we hope that at least 25% of the freshmen mentees will express interest in
becoming mentors in this program when they are upperclassmen. We will determine their
interest by asking them with a one question written survey on the same day we do all of the other
post-tests (Objective 1.4).
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Budget 2017 - 2018 Academic Year
Item Description Cost per
item/hour
Total
Requested
Total In
Kind
Total
Program development by Program
Coordinator (i.e., Therapist): 35
hours
$80 $2,800 $0 $2,800
Program Coordinator transport to
training: 146 miles round trip x 1
trip
$1.89 $13.80 $0.00 $13.80
Program Coordinator peer mentor
training: 3 hours
$80 $240 $0 $240
Program Coordinator teacher and
school counselor training: 1 hour
$80 $80 $0 $80
Teacher and school counselor
training time: 4 hours (20 teachers
and 4 counselors)
$25/hour $0 $2400 $2400
Peer mentor training: 3 hours (50
mentors)
8.31/hour $0 $1,247 $1,247
Program Coordinator Travel Time
and Data Analysis: 16 hours
$80 $1,280 $0 $1,280
Materials for training: 5 sheets per
mentor x 50 mentors
$4.29/ream $0 $4.25 $4.25
Certificate paper (1
certificate/mentor x 50 mentors-
completion certificates)
$4.99/pack $9.98 $0 $9.98
Printed program materials (Peer
Mentors - 1 sheet per week) 50 peer
mentors x 30 weeks; 500 sheets per
ream x 3 reams
$4.25/ream $0 $12.75 $12.75
Ink for added binder content
printing: 1,500 pages (1 HP C8543X
Compatible Black Laser Toner
Cartridge)
$99.99/
cartridge
$0 $99.99 $99.99
12
Peer mentors: 50 for 30 minutes for
30 weeks: 1 semester+ 15, 15 minute
meetings with school counselors
$8.31/hour $0 $ 7790.62 $7790.62
Teachers: 20 hours $25.00/hour $0 $10,000 $10,000
School counselor for Bi-weekly
meetings: 1 (.25 hours/15 meetings)
$25.00/hour $0 $93.75 $93.75
School counselor application review
time: 20 minutes per application,
106 applications
$25.00/hour $883.33 $0 $883.33
Program Coordinator: post-test
debrief and semesterwrap up: 1 hr
(.5 hours / 2 weeks)
$80 $80 $0 $80
Gas to pick up pretest and posttest
materials: 2 tests (146 miles/trip x 2
trips)
1.89/gallon $27.60 $0 $27.60
Total per student/year: $63.50 $5,414.71 $21,648.36 $27,063.07
Analysis of Fit
Ride the Rockies Grant
http://www.ridetherockies.com/cause/
Ride the Rockies provides grant assistance to organizations that assist youth in education,
recreation, or arts in the cities that Ride the Rockies passes through on their Colorado
route. This includes Denver, which is less than ten miles from Lakewood, CO. Ride the Rockies
provides grants of $5,000 and does not have a requirement regarding the type of project or grant
requested. We believe that Ride the Rockies would be interested in funding our program
because we service youth by providing education that they would not otherwise receive.
Kinder Morgan
http://www.kindermorgan.com/pages/community/km_foundation_guidelines.aspx
Kinder Morgan provides grants in the United States and Canada. They are interested in
funding academic programs for kindergarten through twelfth grade students. Their grants run
from $1000 to $5000 and may be used solely for programs (no general operating grants). BAP
participants are in 9th grade and, therefore, are within Kinder Morgan’s age-range of
interest. This grant would help us further youths’ education on nutrition and body image, which
are topics that are currently, not highly addressed in typical school settings.
13
John G. Duncan Charitable Trust
https://www.wellsfargo.com/private-foundations/duncan-charitable-trust
Colorado serving and operating organizations may apply for this grant which ranges from
$5,000 to $10,000 dollars and has a wide range of interest areas. These areas include education
and health, of which BAP incorporates both. The foundation does not fund capital or general
operating grants, simply program grants. Since BAP is an education program designed to
address health-related topics, this grant would be a good fit.
Bibliography
14
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Body Acceptance Program

  • 1. 0 Elysse Andrews, Breanne Baines, Aimee Burnett, Ella Chaffin, Amy Hayden, Ryder Schittone Body Acceptance Program (BAP) (Working with culturally, 2016)
  • 2. 1 Marybeth Goodwin Grants Manager, Healthy Living The Colorado Health Foundation 501 South Cherry Street, Suite 1100 Denver, CO 80246-1325 Dear Ms. Goodwin: We at Beyond the Mirror are always striving to empower and improve the lives of individuals and families affected by issues pertaining to self-esteem and healthy nutritional choices. We offer a variety of interventional counseling services including unique art and yoga therapies. Our staff encompasses multiple counselors, nutritionists, and eating disorder specialists who share our agency’s passion for the genuine and sustainable betterment of lives of those struggling with unhealthy eating or exercise behaviors. Since we have found our current intervention services to be effective, we are seeking to implement additional curriculum to an existing program for high school freshmen concerning the topics of nutrition, healthy cognitions regarding exercise, and body positivity. Research indicates that people between the ages of 15 and 20 are at the highest risk for developing disordered eating habits. The highest percentage of all reported eating disorders are from this age group. This makes sense when considering the social pressures and comparisons associated with puberty. With the particularly salient focus on fitness in Colorado, there are even greater feelings of pressure experienced by adolescents going through puberty. Without resources and curriculum available to those at this sensitive and arguably fragile age, the prevalence of eating disorders will likely only continue to grow. Consistent with your foundation’s emphasis and passion for improving the health and wellness of all Coloradans, we believe addressing the issues of body positivity, nutrition, and healthy exercise is crucial. With a lack of current significant access to education pertaining to body image and healthy nutrition, this poses a staggering risk for adolescents to develop unhealthy behaviors, exercise, and/or eating habits. Similar to your organization, we hope for Colorado adolescents to become America’s healthiest of this age group. We believe that becoming trailblazers for education pertaining to these important topics will help achieve that goal. With our proposed Body Acceptance Program (BAP), we are confident that we will be able to increase knowledge surrounding nutrition, exercise, self-esteem, and body image for freshmen at Bear Creek High School, and potentially students statewide. Adding education on nutrition, exercise, and body image is an essential addition to the existing peer mentoring program at Bear Creek High School. Our proposed curriculum will offer significant information on these topics in a supportive space with opportunities for discussion, support, and activities. In order to achieve these goals, we request a total of $5,415 for the development and implementation of this
  • 3. 2 valuable curriculum. If you have further questions, please feel free to contact Ryder Schittone at (999) 999-9999. Thank you kindly for your consideration. Sincerely, Elysse Andrews (Outreach Coordinator) Breanne Baines (Nutritionist) Amy Hayden (Therapist) Ryder Schittone (Art Therapist) Aimee Burnett (Yoga Therapist) Ella Chaffin (Psychiatrist) Agency Information Beyond the Mirror is an agency that has offered counseling services and education to the population of Fort Collins and surrounding areas in Northern Colorado since 2012. Our counselors specialize in helping individuals who suffer from multiple forms of disordered eating and body image issues through group and individual therapy. Our population consists of 80% females, about half of which are adolescents. We currently serve about 15 new patients a day who are most often suffering from eating disorders, depression, and anxiety. On average, we serve an estimated 200 clients per year. We have 12 counselors at Beyond the Mirror as well as a number of interns and volunteers. Our mission is to help individuals and families receive the support they need to make healthy and positive choices that will benefit their overall well- being. We are also extremely invested in community outreach through our 501c3 non-profit program, Love What You See. Love What You See focuses on empowering individuals to look beyond their physical appearance and focus on the other valuable qualities that they possess. We strive to accomplish this mission by offering services that are free or low-cost to the community. These services include presentations on topics such as eating disorder awareness and prevention. In 2015, we gave approximately fifteen presentations to a total audience of over 3,000 community members of all ages. Our community outreach services are offered through educational trainings and workshops for educators, coaches, and parents in local schools, as well as other community organizations. Similarly, Love What You See provides parental guides to help develop children’s self-esteem, positive body image, self-acceptance, and self-care. We also partake in local Eating Disorder Awareness Week events, such as the National Eating Disorder walk fundraiser and the Mountain Avenue Mile. Problem Statement During adolescence, it is well known that youth will undergo bodily changes associated with puberty. A point of concern is that during this developmental stage, it is normal for adolescents to compare themselves and their body types with peers (Carney & Scott, 2012). This comparison increases the risk of body dissatisfaction in this age group. Relatedly, adolescents and young adults between the ages of 15 and 20 years old have the highest rate of eating disorder (ED) emergence compared to other age groups (Carney & Scott, 2012). While this age group experiences a significantly higher rate of eating disorders (EDs), in 2012, 1 in 5 adolescents in the United States also experienced obesity (Centers for Disease Control [CDC], 2015a). When the CDC (2015a) included adolescents who were overweight or obese, 1 in 3 adolescents were affected. Research also suggests that cisgender persons, and transgender males and females, as
  • 4. 3 well as individuals who identify outside of the gender binary are susceptible to the causes of low self-esteem, EDs, and other psychological issues (Jones, Haycraft, Murjan, & Arcelus, 2016; Murray & Touyz, 2012). Therefore, it is important to include these individuals in prevention and intervention programs. To our knowledge, there are few resources available to individuals who do not identify as heterosexual females. Consequently, it is pertinent to include all students in our proposed universal prevention program, which is related to unhealthy eating and body image concerns. The educational topics of this proposed program will include increasing healthy nutrition, healthy cognitions regarding exercise, and body positivity. When considering nutrition concerns, the CDC (2015b) found that fewer than half of the United States’ children and adolescents met the minimal recommendations for fruits, vegetables, and whole grains. However, nearly half of youths’ total calories came from empty calorie sources such as soda, desserts, and processed foods. In this investigation, adolescents consumed on average, between 14 and 22 ounces of full-calorie soda each day (CDC, 2015b). By providing nutrition education to teens in the Body Acceptance Program (BAP), we hypothesize that this will increase the salience of how to select healthier options, to think about the nutritional value of their food selections, and consequently, decrease the risk of obesity. To more thoroughly address the topic of having a healthy weight, education on effective exercising must also be discussed. In order to reduce people’s risk of becoming obese or developing an ED, in addition to addressing nutrition, it is also important that people understand healthy ways to view exercise. Potentially healthy (e.g., “to reduce tension”) verse potentially unhealthy (e.g., “to have a good body”) motivations to exercise are included in the Exercise Motivations Inventory (Markland & Hardy, 1993, p. 2). Related to EDs is the finding that correlations between EDs and excessive physical activity exist (Keyes et al., 2015). Keyes et al. (2015) found that although those with EDs, those without EDs but with moderate anxiety, and healthy controls reported exercising similar amounts, the control group and those with anxiety versus having Anorexia Nervosa (AN) reported different reasons to exercise. Specifically, those with AN emphasized improving the appearance of their bodies (i.e., amount of tone) while the other two groups (i.e., moderate anxiety and healthy controls) emphasized health and leisure as motivations (Keyes et al., 2015). In programs, focusing on healthier reasons to exercise and thoughts about one’s body have been shown to be effective at improving body image (Levine & Smolak, 2016). Rather than emphasizing weight or appearance, an after-school program for 10- and 11- year-old females emphasized valuing the uniqueness of body shapes, mindfulness, and focused on integrating mental and physical health (Levine & Smolak, 2016). Mental health experts and school staff engaged the participants in yoga (i.e., physical activity) and trained them in relaxation techniques in order to “cultivate mindfulness, attentive self-care, physical strength and flexibility, and emotional regulation” (Levine & Smolak, 2016, p. 40). The healthy exercise cognitions that were emphasized in the program by Levine and Smolak were improving strength and increasing flexibility. These data showed that those who participated in the program had significant decreases in body dissatisfaction and impulsive overeating (Levine & Smolak, 2016). Body comparison between peers is typical in adolescents, which increases the risk of having a poor body image (Carney & Scott, 2012). This is related to the finding that having a poor body image is a risk factor for ED development (Levine & Smolak, 2016). Undesirable consequences of having a poor body image do not just affect those at risk for EDs; they also affect children who are obese (Food Research and Action Center [FRAC], n.d.). The FRAC (n.d.) stated that youth who are obese are more likely to become depressed or experience
  • 5. 4 increased levels of anxiety. Levine and Smolak (2016) summarized the results from a program for youth which emphasized more abstract ideas such as living powerfully, inner sensitivity, accepting and appreciating one’s body, and assertiveness. The results indicated long term effects of reducing negative self-talk and the idealization to be slim, while increasing body satisfaction and self-esteem. These after-school universal prevention programs suggest that valuing health, strength, and self-acceptance, as opposed to weight or thinness, could help reduce risk factors and increase protective factors for EDs longitudinally (Levine & Smolak, 2016). Needs Assessment We are proposing adding curriculum related to the prevention of eating disorders (EDs) to a peer mentoring program that currently exists at Bear Creek High School (BCHS) in Lakewood, CO, which is located in Jefferson County. To our knowledge there are no available data regarding the percentage of adolescents specifically at BCHS who experience disordered eating. However, in Colorado, the eating disorder (ED) rates are particularly worrisome because in 2015, the state had the 5th highest rate of EDs in the country (Columbia Broadcasting Systems [CBS], 2015). While pressures to be slim and ED rates increase, conversely, 1 in 5 Colorado high school students is overweight or obese (Colorado Department of Public Health and Environment [CDPHE], 2015). As Coloradans celebrate that their state has, overall, the healthiest Body Mass Index (BMI) compared to other states, Colorado also has the 2nd highest increasing rate of childhood obesity (Schmidt, 2012; The State of Obesity, 2015). This is likely influenced by nutritional risk factors associated with obesity, which include poor dietary choices, accessibility to processed foods, and sugary drink consumption (CDC, 2015b; Martinez, 2015). Given the high rate of EDs and childhood obesity rates in Colorado, reform of school programs to increase education on health is imperative (CBS, 2015). Specifically, increasing high school adolescents’ knowledge and understanding of 1) nutrition, 2) healthy cognitions regarding exercise, and 3) positive body image are necessary additions to Colorado’s school curriculum. Given that many EDs are undiagnosed and/or untreated, and Colorado has the 5th highest rate of EDs, it is likely that a significant portion of the 1,700 total students at BCHS struggle with disordered eating behaviors (CBS, 2015). There is a variety of resources for EDs that exist near Lakewood, CO such as counseling outside of school, support groups, and facilities geared toward recovery (Eating Recovery Center, n.d.). However, these resources typically require private insurance to which some students may not have access. Consequently this reduces access to those without the financial capability to utilize these services (Eating Recovery Center, n.d.). Schools also have high school counselors available to support students. These counselors, however, may feel unequipped to address specific eating related concerns in the school setting (Carney & Scott, 2012). The current peer mentoring program at BCHS consists of topics such as bullying, academic support, communication etiquette, and accessing physical and behavioral health resources (R. Schittone, personal communication, February, 2016). The program meets 4 times per week for 25 minutes during the lunch period. We are suggesting that we reform the existing Tuesday curriculum to educate students on nutrition, healthy exercise cognitions, as well as body image and acceptance. Our proposed curriculum change will educate and give an outlet to discuss these issues to high school students; a population that is known to be at an increased risk of body image concerns and the development of eating disorders (Carney & Scott, 2012). This proposed peer mentoring program will reach approximately four hundred twenty-
  • 6. 5 five freshmen with 50 mentors over the course of one academic school year. Counselors at BCHS will work with Love What You See, the non-profit sector of Beyond the Mirror Counseling and Wellness, to educate the peer mentors and school counselors, as well as to develop a schedule for the program. Training will take place during the week before the start of the fall semester. Every Tuesday of the academic year, freshmen and their upperclassmen mentors will meet. They will discuss nutrition, healthy exercise habits, and body image concerns. Without resources like our proposed Body Acceptance Program, the prevalence of eating disorders and obesity will likely continue to increase. Target Population Our target population will be freshmen at Bear Creek High School (BCHS) in Jefferson County. According to Start Class (2016), on average, BCHS serves roughly four hundred twenty-five freshmen per year. BCHS is comprised of a population consisting of students who identify as 56.5% Caucasian, 29.5% Hispanic, 9% Asian, 1% Black, 1% Native American, and 2% of students identifying as mixed race. The data are not stated for the remaining 1%. The gender distribution is fairly balanced with 52.6% of the population being male and 47.4% being female. It is unclear whether or not these data represent the students’ self-identification or their biological sex. The median household income in Lakewood, CO is $52,512 per year. This is above the National School Lunch Program’s eligibility threshold for free or reduced lunch (Start Class, 2016). In order to be eligible for free lunch, students’ annual household income must be equal to or below 130% of the poverty line. Roughly 56.4% of students at BCHS are ineligible for free or reduced lunch, 37.8% of students are eligible for free lunch, and 5.8% are eligible for reduced-cost lunch (Start Class, 2016). This trend demonstrates a wide socioeconomic bracket of students served at BCHS. The incoming freshmen of the 2017-2018 school year will all be required to have participated in our program in order to advance to a sophomore status in our proposed program, Body Acceptance Program (BAP). BAP will partner with the current peer- mentor program established at BCHS and will include our added content addressed once per week over the course of the 2017-2018 school-year. Goals and Objectives Goal 1: To decrease the incidence of unhealthy behaviors and cognitions related to eating, exercise, and body image in high school freshmen students. Objective 1.1: Participants, on average, will report a statistically significant increase in knowledge and understanding of nutrition and balanced diets by the end of the intervention as measured by pre and post-tests. Objective 1.2: Participants, on average, will report a statistically significant increase of healthy cognitions regarding exercise as measured by pre and post-tests. Objective 1.3: Participants, on average, will report a statistically significant increase in body image esteem, as measured by pre and post-tests. Objective 1.4: 25% of participants will report an interest in becoming future mentors within this program by the end of the intervention.
  • 7. 6 Methods As previously discussed, adolescents are at an increased risk for social comparison which consequently increases the risk of body dissatisfaction (Carney & Scott, 2012). This aligns with the heightened risk of adolescents developing eating disorders (EDs), maladaptive cognitions and behaviors regarding nutrition, exercise, and body image (Carney & Scott, 2012). As this risk of adolescents developing EDs exists, 1 in 3 Colorado adolescents is also overweight or obese (CDC, 2015a). Our proposed universal prevention program, the Body Acceptance Program (BAP), aims to address these issues. The BAP will target the approximately four hundred twenty-five incoming freshmen at Bear Creek High School (BCHS) in Jefferson County over the course of the 2017-2018 school-year. BAP will partner with the school-counselor supervised peer-mentor program that is currently established in BCHS in order to include the underaddressed elements of nutrition, exercise, and body positivity, which significantly impact adolescent students. BAP will take place every Tuesday of the 2017-2018 school-year from 11:20-11:50. The students will then be released for lunch until 12:10. Peer mentors will implement daily curriculum, with a supervising teacher in the classroom, for the first 10-15 minutes which will be followed by small-group discussions and/or activities for the remainder of the time period. The goal of BAP is to decrease the incidence of unhealthy cognitions and behaviors related to nutrition, exercise, and body image through the implementation of a peer- mentor led educational program targeting freshmen. The program will assess students’ initial levels of knowledge regarding balanced diets, cognitions surrounding exercise, and body image esteem through the use of pre-test measures administered at the start of the 2017 fall semester. Our program will implement curriculum related to nutrition, exercise, and body image once weekly during the normal peer-mentoring program delivery times over the course of the fall and spring semesters on BCHS campus. The program’s efficacy will be measured by administering a posttest related to target cognitions and behaviors at the end of the 2018 spring semester and comparing the results to those of the pre-test. The program will only run once over the course of the 2017-2018 school year. If BAP yields statistically significant results, efforts will be made to continue the program at BCHS as well as other high schools in the area. Program Staff Our proposed program staff will consist of a Program Coordinator (i.e., a therapist from Beyond the Mirror), 4 school counselors and 20 teachers from BCHS, and 50 peer mentor volunteers. In addition to the program staff, there will be approximately four hundred twenty- five freshmen participants. The paid Program Coordinator will develop the program’s curriculum, train the school counselors, teachers, and peer mentors, oversee any questions or concerns regarding the program, and conduct evaluations of the program’s success. The program’s success will be measured by calculating the statistically significant differences (if any) between the pretests and posttests. The Program Coordinator will dedicate a total of 55 hours to the program. Thirty-five of the these hours will be spent developing the curriculum, 7.5 hours will be spent traveling to and from BCHS, 4 hours will be spent training the mentors and teachers, and 8.5 hours will be spent on data analysis. The participants of our proposed Body Acceptance Program (BAP) will consist of a captive freshmen audience from Bear Creek High School (BCHS). Incoming freshmen will be required to complete the yearlong program in order to advance to sophomore
  • 8. 7 standing. Upperclassmen peer-mentors will be recruited from the already-established peer- mentoring program at BCHS. Peer-mentors will need to have expressed a desire to participate in the program during the previous spring semester and completed an online application. If they do not have access to a personal computer at home, they will be able to apply on one of the school- provided computers. Students will be selected as peer-mentors based off of their personal application, previous active engagement in the currently established peer-mentor program, and personal qualifications that they state in their application. There will be 20, 30 minute Body Acceptance Program (BAP) groups held throughout the 2017-2018 academic year. These groups will meet at the beginning of each Tuesday lunch period and will be held in classrooms at BCHS. There will be one teacher for each of the 20 BAP groups for a total of 20 teachers. Since we cannot precisely predict how many students will actually enter the 2017-2018 freshmen class, each BAP classroom will have two to three peer- mentors depending on each classroom’s actual number of freshmen participants. Hence, there will be 50 peer-mentors involved in the program. We will establish 1 school counselor who will be the main point of contact for the BAP teachers, peer-mentors, and freshmen participants. The salaried school counselors at BCHS will review the prospective peer-mentors’ applications and notify them of their acceptance or rejection. Given the existing number of students at BCHS, we anticipate that approximately one hundred six students will apply for peer mentoring positions. We predict that reviewing each application will take the school counselor approximately twenty minutes for a total of 35.3 hours to review all applications. The application review process will not be considered an in-kind donation because school counselors’ primary responsibility that is accounted for in their salaries is to support students, help students enroll in specific classes, and provide counseling. The school counselor will use a school-provided database to automatically enroll all freshmen in the program. This counselor will also lead 15 minute, bi-weekly meetings with the mentors for 30 weeks to equate a total of 15 meetings. This will be considered an in-kind donation because the counselor’s school-determined salary will cover the time spent on these meetings. The school counselor will work approximately forty-three total hours. The teachers involved in the program will each work for approximately twenty hours, including the time spent in training and supervising the BAP groups; this will also be considered an in-kind donation. The program training will take place at BCHS the week before school begins in August. In addition to the 3-day training program that the mentors are currently required to take part in, our program will require 3-4 hours of additional training depending on the trainees’ program-title (i.e., 4 hours for teachers and counselors; 3 hours for peer mentors). The Program Coordinator will meet with the school counselor and teachers for the first hour of the additional training day to instruct them on how to lead the peer mentors through the implementation of the program. The Program Coordinator, school counselors, and teachers will then lead the remaining 3-hour training session during the additional training day for the peer mentors. They will teach the peer mentors how to implement the curriculum content, which is designed for freshmen. They will also teach the mentors how to facilitate the activities and discussions related to the BAP. During this training, the Program Coordinator will also educate the teachers and mentors on how to administer the pretest and posttest evaluations. The Program Coordinator will not be present during pretest and posttest administration, but will return to BCHS 2 times in order to first, retrieve the pretest data, and second, to retrieve the posttest data at the end of the program. These data will be utilized for program analysis.
  • 9. 8 In the existing program, each peer mentor currently receives a binder that contains the necessary materials for implementing the freshmen mentoring program. Each peer mentor will receive an additional 1 page, BAP handout per week for a total of 30 weeks. Given that there are 50 peer mentors, this will add a total 1,500 additional 1-page handouts to the currently provided mentor binders. The mentors will use the binder as a reference for leading the program’s activities. For each day of the intervention, the peer mentors will facilitate the group, which will be supervised by the teacher who is present in the assigned classroom. Peer mentors will display the freshmen participants’ session activities and discussion prompts on a PowerPoint via the school’s provided projectors. The peer mentors will volunteer their time for trainings, meetings, and leading the program sessions resulting in a total of 21 hours and 45 minutes. The peer mentors will be given a certificate upon successful completion of the mentoring program, and will have the option to purchase honor cords for graduation. At the end of the program, the coordinator will return to BCHS to retrieve the posttests, answer any questions or concerns regarding the BAP, and to get feedback for potential future sessions of the program. After collecting the posttests, the Program Coordinator will conduct a data analysis in order to compare the statistical significance (if any) of the pretest and posttest results and the programs’ efficacy. Activities In order to decrease the concerns mentioned in our problem statement (i.e., nutrition knowledge, unhealthy cognitions about exercise, and poor body image in adolescents), our Body Acceptance Program (BAP) will incorporate both educational and interpersonal components. To improve adolescents’ knowledge on nutrition and healthy eating, the students will participate in educational sessions, discussions, or activities related to nutrition, exercise cognitions, and body image. This will be led by the peer mentors. The components of the nutrition education sessions teach students how to reduce the consumption of sugary and/or processed foods and beverages. They will also educate students on selecting healthy portions, eating all foods in moderation, and consuming the daily recommended values of food categories. The interpersonal components will be related to healthy cognitions regarding exercise and body self-esteem. The activities to improve healthy cognitions regarding exercise will be, primarily, interpersonal in nature. Students will have small-group discussions on potentially healthy and unhealthy reasons people exercise. An example of an activity is to have each group member state a healthy reason (e.g., to improve my blood pressure, to have a healthy weight etc.) and then engage in short discussions. BAP will also incorporate additional discussions on how to view exercise positively and healthfully. To address the objective of improving body image, students will have interpersonal discussions. The activities in these sessions will emphasize acceptance around unique body shapes, living with empowerment, and inner sensitivity. To address the objective of encouraging freshmen participants to become future peer mentors, the peer-mentors will frequently remind the mentees that they have the opportunity to become future-mentors and encourage them to consider their participation as mentors. At the end of BAP, the mentees will complete a survey that asks them whether or not they have a desire to participate as future program mentors and will provide the web link that leads them to the online application.
  • 10. 9 Schedule Tuesday Lunch Periods (11:20-12:10) 11:20- 11:35: Brief introduction to the day’s education information, discussion-content, and/or the activity-content (i.e., nutrition, exercise, or body image) 11:35-11:50: Implementation of peer-mentor led discussion or activity content related to nutrition, exercise, or body image 11:50-12:10: Students and mentors are released for lunch Time Table April 2016: Peer-mentor applications are due by April 6th. Peer-mentors will be selected by school counselors and notified of their acceptance or rejection to the program by the end of April. May – July 2017: Program Coordinator will begin to develop the curriculum for the Body Acceptance Program (BAP). Curriculum content will reflect information related to nutrition and exercise awareness, as well as body positivity and related issues. August 2017: Program Coordinator will train school counselor, teachers, and peer mentors during a one day, 4-hour training session. This session will be in addition to the existing 3 day training program. Training will cover program curriculum, implementation methods, and evaluation procedures. Teachers and school counselors will participate in a 1 hour training session in order to understand their responsibilities as supervisors. Peer-mentors, teachers, and school counselors will attend a 3 hour training session where they will review the curriculum’s content related to BAP and discuss implementation methods as well as how to facilitate students’ discussions and activities. August 2017- May 2018: BAP will run once weekly throughout the entire school-year. Pre-tests will be administered during the first session, and post-tests will be administered during the final session. Other Participating Organizations Our proposed Body Acceptance Program (BAP) curriculum will be implemented at Bear Creek High School (BCHS) in Lakewood, Colorado. BCHS is a part of Jefferson County Public School District. There will also be members of the school’s teaching staff who will be present during class times to provide supervision. Rather than hiring outside mentors and facilitators, sourcing volunteers from the school itself will save on a significant portion of the costs that would otherwise be necessary.
  • 11. 10 Future funding We will need significantly less funding in future years and academic semesters as we will not need to pay for curriculum development. This will save $2,800 per year after one year, or two semesters. After the first year, this will drop our total program cost down 13% and will change our requested amount to a $2,450 requested cost for the second year. If we decide to continue for a third year, we will no longer need curriculum development which will bring our requested cost for the program down to $450 for one school year. At this point, if we decide to continue, we will have the school board supply us the funds for this program. Evaluation During the first and last meetings of our intervention, the freshmen participants will take a 44 item survey developed by the University of Massachusetts’ Amherst Department of Nutrition (n.d.) to evaluate their existing knowledge of nutrition. This survey evaluates knowledge concerning fats, oils, sweets, weight loss, serving sizes, protein, fiber, carbohydrates, fruits, vegetables, etc. (University of Massachusetts, n.d.). The results will be documented and analyzed for a statistical significant change in knowledge and understanding regarding human nutrition (Objective 1.1). In order to reduce people’s risk of becoming obese or developing an ED, it is important that people know healthy ways to view exercise. Participants will complete the Exercise Motivations Inventory by Markland and Hardy (1993), which assesses people’s motivations to exercise. Examples of healthy motivations to exercise include those from the Exercise Motivations Inventory such as, “to have a healthy body” and “to reduce tension” (Markland & Hardy, 1993, p. 2). Depending on current BMI status, healthy reasons for exercise may be “to lose weight” or “to have a good body” (Markland & Hardy, 1993, p.2). To compare the pretest and posttest knowledge of participants’ exercise cognitions, participants will complete this survey at the first session, and then complete this survey again at the final session (Objective 1.2). With a preliminary test and an exam upon completion of our program we plan to measure increase in body-esteem in our participants. We will use the Measure of Body Apperception (Carver et al., 1998). This instrument was developed to determine the dependence one has on their body-image in relation to self-worth (Carver et al., 1998). The goal of this assessment is to measure one’s appreciation of their body (Objective 1.3). Finally we hope that at least 25% of the freshmen mentees will express interest in becoming mentors in this program when they are upperclassmen. We will determine their interest by asking them with a one question written survey on the same day we do all of the other post-tests (Objective 1.4).
  • 12. 11 Budget 2017 - 2018 Academic Year Item Description Cost per item/hour Total Requested Total In Kind Total Program development by Program Coordinator (i.e., Therapist): 35 hours $80 $2,800 $0 $2,800 Program Coordinator transport to training: 146 miles round trip x 1 trip $1.89 $13.80 $0.00 $13.80 Program Coordinator peer mentor training: 3 hours $80 $240 $0 $240 Program Coordinator teacher and school counselor training: 1 hour $80 $80 $0 $80 Teacher and school counselor training time: 4 hours (20 teachers and 4 counselors) $25/hour $0 $2400 $2400 Peer mentor training: 3 hours (50 mentors) 8.31/hour $0 $1,247 $1,247 Program Coordinator Travel Time and Data Analysis: 16 hours $80 $1,280 $0 $1,280 Materials for training: 5 sheets per mentor x 50 mentors $4.29/ream $0 $4.25 $4.25 Certificate paper (1 certificate/mentor x 50 mentors- completion certificates) $4.99/pack $9.98 $0 $9.98 Printed program materials (Peer Mentors - 1 sheet per week) 50 peer mentors x 30 weeks; 500 sheets per ream x 3 reams $4.25/ream $0 $12.75 $12.75 Ink for added binder content printing: 1,500 pages (1 HP C8543X Compatible Black Laser Toner Cartridge) $99.99/ cartridge $0 $99.99 $99.99
  • 13. 12 Peer mentors: 50 for 30 minutes for 30 weeks: 1 semester+ 15, 15 minute meetings with school counselors $8.31/hour $0 $ 7790.62 $7790.62 Teachers: 20 hours $25.00/hour $0 $10,000 $10,000 School counselor for Bi-weekly meetings: 1 (.25 hours/15 meetings) $25.00/hour $0 $93.75 $93.75 School counselor application review time: 20 minutes per application, 106 applications $25.00/hour $883.33 $0 $883.33 Program Coordinator: post-test debrief and semesterwrap up: 1 hr (.5 hours / 2 weeks) $80 $80 $0 $80 Gas to pick up pretest and posttest materials: 2 tests (146 miles/trip x 2 trips) 1.89/gallon $27.60 $0 $27.60 Total per student/year: $63.50 $5,414.71 $21,648.36 $27,063.07 Analysis of Fit Ride the Rockies Grant http://www.ridetherockies.com/cause/ Ride the Rockies provides grant assistance to organizations that assist youth in education, recreation, or arts in the cities that Ride the Rockies passes through on their Colorado route. This includes Denver, which is less than ten miles from Lakewood, CO. Ride the Rockies provides grants of $5,000 and does not have a requirement regarding the type of project or grant requested. We believe that Ride the Rockies would be interested in funding our program because we service youth by providing education that they would not otherwise receive. Kinder Morgan http://www.kindermorgan.com/pages/community/km_foundation_guidelines.aspx Kinder Morgan provides grants in the United States and Canada. They are interested in funding academic programs for kindergarten through twelfth grade students. Their grants run from $1000 to $5000 and may be used solely for programs (no general operating grants). BAP participants are in 9th grade and, therefore, are within Kinder Morgan’s age-range of interest. This grant would help us further youths’ education on nutrition and body image, which are topics that are currently, not highly addressed in typical school settings.
  • 14. 13 John G. Duncan Charitable Trust https://www.wellsfargo.com/private-foundations/duncan-charitable-trust Colorado serving and operating organizations may apply for this grant which ranges from $5,000 to $10,000 dollars and has a wide range of interest areas. These areas include education and health, of which BAP incorporates both. The foundation does not fund capital or general operating grants, simply program grants. Since BAP is an education program designed to address health-related topics, this grant would be a good fit. Bibliography
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