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. Author manuscript; available in PMC: 2021 Apr 16.
Published in final edited form as: Contemp Clin Trials. 2020 Dec 25;101:106255. doi: 10.1016/j.cct.2020.106255

Table 3.

Water first lessons, family engagement activities, and reinforcement tools.

Lesson Theme/
Objective
Lesson Activities Family Engagement
Activitiesa/Reinforcement
Tools
1. Introduction to Water First program and importance of drinking water for health
  • Overview of Water First Program

  • Watch video about the importance of drinking water for health and discuss key points

  • Distribute reusable water bottles to students/teacher

  • Introduction of final student presentations

  • Family engagement activity: Watch Share The Love, Share the Water video (DVD English/Spanish) with family and write down what family learned

  • Reinforcement tool: Reusable water bottles (2 per student, 1 for school and 1 for home use)

2. Water is Safe Review origin, treatment, and safety of tap water
  • Explain water quality, including where local water originates and how it is treated, and provide results of lead testing of drinking water at school

  • Family engagement activity: Teach family about origin of tap water, its treatment, and results of lead testing of water at school

  • Reinforcement tool: Graphic novel handout

3. Water is Healthy Discuss added sugar content in beverages and why water is a healthy alternative
  • Explain how to read a nutrition label

  • Calculate added sugar in beverages

  • Visually display the teaspoons of added sugar in beverages

  • Overview of “Go, Slow, Whoa” concept for beverages

  • Family engagement activity: Calculate the added sugar in drinks at home; identify beverages as go, slow, or whoa drinks

  • Reinforcement tool: Graphic novel handout

4. Water is Easy Examine locations in and out of school where tap water is available
  • Brainstorm locations to access tap water in the community

  • School scavenger hunt to locate drinking water sources at school

  • Family engagement activity: Work with family to complete contract to identify at least one healthy beverage goal

  • Reinforcement tool: Carabineer for easy water access; graphic novel handout

5. Water is Tasty Consider ways to make water taste delicious without adding sugar
  • Overview of ways to make water tasty without adding sugar

  • Watch short video about how to create fruit and vegetable infused waters

  • Taste test of infused waters; guess ingredients used

  • Family engagement activity: Show family fruit and veggie water video (DVD) and design recipe

  • Reinforcement tool: Graphic novel handout and recipe card

6. Water is Green Discuss the environmental footprint of beverages
  • Review environmental impact of drinking tap water vs. single-use bottled water vs. sugary drinks

  • Rank order beverages by the amount of water that is needed for production

  • Discuss plastic waste generated by single-use bottles

  • Family engagement activity: Work on final project and discuss lesson content with family

  • Reinforcement tool: Ice cube molds to encourage tap water intake; graphic novel handout

7. Water makes $ense Overview of how drinking tap water is cost-saving and can be beneficial for oral health
  • Rank order commonly consumed beverages by cost per ounce

  • Calculate annual cost-savings of drinking tap water instead of bottled water and sugary drinks

  • Watch video about oral health benefits of drinking fluoridated tap water

  • Family engagement activity: Work on final project

  • Reinforcement tool: Crazy straw; graphic novel handout

8. Final project and presentation
  • Review of lesson content

  • Student presentations for classmates, teachers, and parents

  • Certificate of completion

  • “Share the Love, Share the Water” button

a

Students who complete family engagement activities receive prizes such as temporary tattoos, stickers, pencils, and erasers.