Smart Meal Seal NCSL Shana Patterson, RD Nutrition Coordinator Colorado Physical Activity and Nutrition (COPAN) program

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Smart Meal Seal NCSL 2009 Shana Patterson, RD Nutrition Coordinator Colorado Physical Activity and Nutrition (COPAN) program

COPAN s Directive Need for restaurant interventions: Resource Guide for Nutrition and Physical Activity Interventions to Prevent Obesity & Other Chronic Diseases, by National Center for Chronic Disease Prevention and Health Promotion Sloan Trends & Solutions 50% of fast food customers interested in macronutrient information 40% eating/wanting to eat more grilled menu selections 71% of customers are choosing to eat healthier 80% of customers want both indulgent & healthier food options

Smart Meal Seal Objectives Provide healthier menu options for customers Provide education and awareness of Smart Meal qualifications Encourage customers to make healthier choices (increase fruit/vegetable consumption) The expected outcome is to change the environment to promote healthy options

Current Smart Meal Seal Logo

5 A Day Task Force Partnership Support Colorado Restaurant Association Denver Dietetic Association Colorado Dietetic Association CDPHE Consumer Protection Division (inspection dept.) Local chapters of the American Diabetes Association, American Association of Diabetes Educators, and American Heart Association CDC Mayor s Office

Smart Meal Requirements Minimum of 2 servings of beans, whole grains, fruits or vegetables. May substitute one svg. For a serving of fat-free or low-fat milk or equivalent milk product Maximum of 700 calories 30% or less of total calories from fat or 23 g or less 10% or less of calories from saturated fat or 8g or less 0.5g or less of trans fat (no added or artificial) 1,500 mg or less of sodium

Smart Meal for Kids Guidelines NEW! Same as Adult Guidelines Except: 400-600 Calories 600-800 mg of Sodium Calorie and sodium ranges are necessary to represent respective ages (4-8 and 9 13 years) in children. The meal would represent approximately 1/3 of daily recommendations. Based on the American Heart Association and the US Dietary Guidelines

Benefits to a Restaurant Smart Meal Seal menu item identification and endorsement by the Colorado Department of Public Health and Environment Statewide publicity through Smart Meal Seal media outreach Coming Soon! www.smartmealseal.net Promotion through the STEPP program (Own Your C ) A listing on the LiveWell Colorado website www.livewellcolorado.com In negotiations new media outreach in 2009

Restaurant Agreement 1) Restaurant must have TWO qualifying items to be considered a Smart Meal Seal restaurant (one may be a side dish, one an entrée) 2) Display window decals 3) Display the logo and SM qualifications on the menu 4) Provide sales data

External Coverage and Impact of Smart Meals 2007-08 Key Partnerships - Gov. Ritter's First 100 Days, Mayor s Office; CO Restaurant Association, CO Dietetic Association.. Media Over 35 media events: Dow Jones Live Wire; Denver Post Editorial Board; all news channels 6-month commercial on Comcast

Examples of Smart Meal Promotion and in-store Marketing Efforts

Promotion of Smart Meal

Comcast Commercial will be available on the website

Marketing Materials

Qdoba Smart Meal Menus

Examples of Restaurant Promotions

Cost for the Restaurant Average cost of one analysis = $90 All participating restaurants receive a discount for participating in the Smart Meal Seal program Some promotions offer buy one, get one Menu inserts (if menu not scheduled to be reprinted soon) *Two or more menu items must be submitted for analysis

Cost for Implementing Agency Time Smart Meal Coordinator Dependent upon # of restaurants, marketing efforts, etc. Marketing the sky s the limit! We started on the floor Materials printing costs: window decals, promotional panel cards, training folders & materials plus CDs

COPAN & McDonald s: A Smart (Meals) Partnership

McDonald s Smart Meals Working with COPAN Planning process spanned over two years Corporation, individual owner/operators, advertising agency and public relations agency involved Drafting the contract four prong plan: Communication advertising and public relations Evaluation and Customer Behavior Timeline Materials

McDonald s Smart Meals Existing McDonald s menu items grouped together 11 meals were created for the McDonald s Smart Meal Menu Sample of the items that qualified include: Egg McMuffin and Small Orange Juice Hamburger Happy Meal with Apple Dippers and Milk Classic Grilled Premium Chicken Sandwich, Fruit n Yogurt Parfait and Apple Dippers Southwest Salad with Grilled Chicken and a ½ Packet of Southwest Dressing

Drive Thru Zone

Lobby Zone

Counter Zone

Roadblocks COPAN s legal department McDonald s legal department Wide adoption within McDonald s Denver region Crew training Educating the public Budget Merchandising

Success High Media Interest = Public Education About McDonald s Smart Meals 6.8 million Coloradoans July November 2007 period viewed or read McDonald s Smart Meals story (number still growing) National coverage on Dow Jones Live Wire Covered by every Denver TV station, 850 KOA radio, Denver Post, Rocky Mountain News, Colorado Associated Press Denver Post editorial board endorsement

Other Successes and Accomplishments RWJ & CDC s Evaluation One of 20 programs selected over 2 years The most extensive and developed restaurant program to be evaluated Smart Meal was replicated throughout the state of Arizona in 2008; replicated in Utah in 2009

Preliminary Results Evaluation of McDonald s Marketing of Smart Meals Mathew Christensen, Ph.D. Colorado Dept. of Public Health 303-692-2335 Mathew.Christensen@state.co.us

Intervention Purpose Changing environments not behaviors (not directly) Intention: to support healthy meal choices through marketing and providing meals that meet predefined criteria The evaluation was guided by the intervention purpose Did marketing healthy meal options change customers meal choices?

Sales Data Overview January 2006 June 2008 (129 weeks) 27 meal items across 3 groups (smart, regular, sides) Denver 110 stores; Comparison group 34 stores Aggregated weekly totals (3 kinds of outcomes to consider) Customer transactions (customer volume) Meal sales (meal volume) Meal sales rates (transaction volume; consumption proxy)

Significant Results Smart Meal sales increased in Denver; not other Customer transactions increased in Denver; not other Regular meal sales decreased in Denver; not other Side order sales decreased in Denver; not other Meal sales rates decreased more in Denver Confounding effects were adjusted Mediation from Smart Meal sales had opposite effects in Denver and other

Status Nov 2008 Currently, we have 187 individual restaurants/establishments participating the Smart Meal program Winter Park Ski Resorts launched in Thanksgiving week 08 New website coming soon at www.smartmealseal.net Go to www.livewellcolorado.com for individual store locations and listings

Policy Options for Smart Meal Comprehensive county & city plans ex. Preference given as is with parks/bike paths Federal or state block grants for economic development (incentives for Smart Meal restaurants) Zoning zoning or license preference Tax incentives for participating restaurants Preference given to contracts for vendors/vending/catering companies

Other Information on the Smart Meal Program & Other Participating Restaurants Coming soon: www.smartmealseal.net www.livewellcolorado.com Contact Shana Patterson, RD 303-692-2572 Shana.patterson@state.co.us