Evaluating Obesity Prevention Efforts A Plan for Measuring Progress (2013) / Chapter Skim
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Appendix H: Community Intervention Resources
Appendix H: Community Intervention Resources
Pages 421-440
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H Community Intervention Resources Included in this appendix: • ABLE H-1 Description of Selected Community-Level Obesity Prevention Initiatives with T Population-Level Results • ABLE H-2 Description of Selected Community-Level Obesity Prevention Initiatives: T In Progress or No Population-Level Measurement • TABLE H-3 Selected Tools for Evaluating Community Obesity Prevention Initiatives • Evaluations Illustrating Best Practices for Measurement and Design -- Cultural Competence and Photovoice -- Logic Model Design Examples -- Causal Modeling: The Healthy Communities Study -- A Potential Regression-Discontinuity Evaluation 421
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Children/adolescents activity, fruits and children's behavior Design: Pre/post vegetables, sugary drinks, screen time Allegiance Health -- Setting: Jackson, MI Health partnership Pilot evaluation of Participants managed Health Improvement (Community, US) efforts among worksite wellness stress better, avoided Organization Target population: patients, physicians, component; tracking weight gain, controlled (AHRQ Health Adults, children/ employers, schools, of employee blood pressure and Care Innovations adolescents faith-based participation health cholesterol, avoided Exchange, 2012d)
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(Community, Europe) cardiovascular disease mean change in risk risk factors between Target population: prevention program factors between the intervention and Adults promoting a healthy intervention and reference group was Design: lifestyle reference area significant for BMI, Quasi-experimental waist circumference, total cholesterol, and serum glucose Healthy Eating, Setting: 14 low- Policy and Repeated cross- Findings from the Active Communities income communities environmental sectional surveys school survey combined and Central in CA (Community, interventions in of 400 randomly with environmental California Regional US)
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passed increased. Design: Pre/post time <2 hours, 1+ implementation Obesity among all hour of exercise race/ethnicity groups declined Kaiser Permanente Setting: Three low- Policy and School-based surveys Improvements in Healthy Eating income communities environmental and Fitnessgramd physical activity Active Living in Northern CA interventions in measures of students behaviors found where Community Health (Community, US)
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) , Physical Activity and 2005)
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426 Evaluating Obesity Prevention Efforts
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outcome measurement, and program evaluation. Eat Smart, Move More North A statewide movement that promotes increased opportunities for healthy eating and Carolina physical activity wherever people live, learn, earn, play, and pray.
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assess the associations between program/policies and BMI, diet, and physical activity in children in communities that have a high proportion of African American, Latino, and/or low-income residents. Healthy Eating Active Living Builds awareness among California city officials about the role of the physical Cities Campaign environment in promoting healthy habits and provides them with an array of (California)
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W.K. Kellogg Foundation Food Creating communities that support access to locally grown, healthy, affordable and Fitness Initiative food, and safe and convenient places for physical activity and play, for families and (USDA, 2010)
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assessment of the physical environments research/child-health-behavior of parks and playgrounds, with an and-development/saelens-lab/ emphasis on evaluating physical measures-and-protocols elements and qualities with respect to their functionality or potential functionality (e.g., how a park or playground element is used or could be used by adults and children) Irvine Minnesota Inventory Measures a wide range of built https://webfiles.uci.edu/kday/public/ environment features that may affect index.html physical activity, especially walking Includes 160 items covering 4 domains: accessibility, pleasurability, perceived safety from traffic, and perceived safety from crime Nutrition Environment Measures Measures focus on surveying community http://www.med.upenn.edu/nems Survey (NEMS)
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Institute online environment for physical activity, onlinetraining.shtml training including an in-depth look at specific tools, and assessing the nutrition environment with the NEMS Community Tool Box sections on Free, open-source lessons and tools for http://ctb.ku.edu/en/dothework/tools_ community evaluation designing and implementing community tk_content_page_254.aspx evaluations Appendix H 431
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A qualitative mid-course evaluation employed focus groups of teens and parents, as well as an eight-session PhotoVoice curriculum. To guide taking photos, the participants co-developed framing questions about community barriers and facilitators for physical activity and about what made for stress and happiness in their community.
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Essentially, population dose is the effect size of the intervention, if the effect was spread across all of the residents of the target community. Because quantitative effect sizes for policy and environmental change interventions are generally unavailable in the literature, this method uses a three-level rating system (high/medium/low)
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. Causal Modeling: The Healthy Communities Study Funded by the National Heart, Lung, and Blood Institute, the Healthy Communities Study will run from 2010 to 2015 and is designed to be a multi-site national study of community-level programs and policies and their relationship with childhood obesity (NHLBI, 2012)
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The probability sample of communities can be generalized to the rest of the United States, while the purposive sample allows a better understanding of the variety of policies and programs being implemented. By including the probability sample of communities, the Healthy Communities Study greatly improves on the non-equivalent comparison group design.
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2012a. Community coali tion supports schools in helping students increase physical activity and make better food choices.
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2012h. Tools, education, and technical assistance encourage child care sites to adopt strategies that promote healthy eating and physical activity in young children.
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2011. Project FIT: Rationale, design, and baseline characteris tics of a school- and community-based intervention to address physical activity and healthy eating among low income elementary school children.
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2010. Healthy Eating, Active Communities and Central California Regional Obesity Prevention Program final evaluation synthesis report.
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