Communities putting prevention to work: Local evaluation of community-based strategies designed to make healthy living easier

Soler, Robin; Whitten, Kathleen; Ottley, Phyllis

doi:10.1016/j.ypmed.2014.08.020

Cited by 7 publications

(7 citation statements)

References 40 publications

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“…Complementary to initiatives aimed at high-risk segments of the population are interventions that aim to change policies, systems, and environments, including priority-setting at the community and population levels. This reflects an awareness that end-stage treatment of chronic disease is not sufficient, and that there is a need to promote healthy lifestyles across the lifespan, and to address risk factors in multiple settings [58], including more deep seated health inequities based on high levels of income inequality. Notable examples are large scale development interventions aimed at broad societal change, such as the 'Prospera/ESIAN' Programme in Mexico [59] or the 'Zero Hunger/Academia Saúde Program' in Brazil [60,61].…”

Section: Community-based Initiativesmentioning

confidence: 99%

“…There is positive evidence of programmes focused on components such as social marketing, stakeholder engagement, network and partnership development, community-directed needs PLOS ONE assessment and capacity building, showing changes in community capacity, but no or few impacts on individual knowledge, beliefs, perceptions and behaviour with relation to healthy eating, physical activity and sedentary lifestyle habits [34,51,54,58,62]. In contrast, some programmes-depending on their specific characteristics, including the number and duration of mutually reinforcing activities-show improvements in awareness, knowledge and behaviour indicators, but no measurable impacts at the community level, beyond the potential establishment of environmental conditions conducive to healthy behaviour [38,51].…”

Section: Plos Onementioning

confidence: 99%

“…Across the studies we also see the importance of understanding the wider context of implementation highlighted repeatedly. Programmes require tailoring to the social, economic, cultural, and demographic features of a region, with attention paid to identification of the best strategies in relation to age, gender, socioeconomic status, cultural identities and spheres of influence of the participants [51,53,58,62]. Engagement with local stakeholders and placebased planning of strategies is key to sustained change [43,54], ensuring relevance to people's day to day lives, and the identification of community-specific barriers to uptake and adherence.…”

Section: Plos Onementioning

confidence: 99%

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Integrating nutrition and physical activity promotion: A scoping review

2020

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Background This paper investigates actions that combine nutrition and physical activity which hold potential for 'double duty action' to tackle multiple forms of malnutrition simultaneously. Expanding on previous research on single component actions, we assessed the state of the literature to map integrated interventions across the life course to analyse potential double duty effects, and identify knowledge gaps and needs for future design, implementation, evaluation and research for effective double duty action. Methods A scoping review of peer-reviewed and grey literature was conducted to explore the pathways that extend from combined physical activity and nutrition promotion interventions, with potential synergistic effects on outcomes other than obesity. Electronic databases were searched for studies published between 1 January 2010 and 31 January 2020. Out of 359 articles retrieved, 31 peer-reviewed and 5 grey literature sources met inclusion criteria. Findings from 36 papers reporting on 34 interventions/initiatives were organised into 6 categories, based on implementation across multiple stages of the life course. Double-duty potential was assessed through a further stage of analysis. Findings This review has identified actions that hold potential for tackling not only obesity, but healthy diets, sedentary behaviour and quality of life more generally, as well as actions that explicitly tackle multiple forms of malnutrition. Importantly, it has identified crucial gaps in current methods and praxis that call for further practice-oriented research, in order to better understand and exploit the synergistic effects of integrated interventions on outcomes other than obesity. Conclusions Findings from across implementation settings suggest that even in situations where interventions are aimed at, or framed in terms of, obesity prevention and control, there are

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Section: Community-based Initiativesmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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Integrating nutrition and physical activity promotion: A scoping review

2020

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“…During the past decade, numerous policy, systems and environmental (PSE) change strategies have been implemented by public health authorities to combat this obesity epidemic [ 3 – 5 ]. These strategies have included interventions that were designed to assist individuals in losing or maintaining a normal weight through modifications of the food and the built environment [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between self-perception of weight, food choice intentions, and consumer response to calorie information: a retrospective investigation of public health center clients in Los Angeles County before the implementation of menu-labeling regulation

et al. 2015

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BackgroundAlthough obesity continues to rise and remains a great public health concern in the U.S., a number of important levers such as self-perception of weight and calorie postings at point-of-purchase in restaurants are still not well-characterized in the literature, especially for low-income and minority groups in Los Angeles County (LAC). To study this gap, we examined the associations of self-perception of weight (as measured by body weight discrepancy) with food choice intentions and consumer response to calorie information among low-income adults residing in LAC during the pre-menu labeling regulation era.MethodsDescriptive and multivariable logistic regression analyses were performed to examine the aforementioned associations utilizing data from the 2007–2008 Calorie and Nutrition Information Survey (CNIS). The CNIS was a local health department study of 639 low-income adults recruited from five large, multi-purpose public health centers in LAC.ResultsSurvey participants who reported that their desired weight was less than their current weight (versus desired weight the same as current weight) had (i) higher odds of intending to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase (aOR = 2.0; 95 % CI: 1.0–3.9); and (ii) had higher odds of reporting that it is “very important” to have these calorie postings on food items in grocery stores (aOR = 3.1; 95 % CI: 0.90–10.7) and in fast-food restaurants (aOR = 3.4; 95 % CI: 1.0–11.4).ConclusionsSelf-perception of weight was found to be associated with the intention to select lower-calorie foods under the scenario that calorie information was available at point-of-purchase. Future public health efforts to support menu labeling implementation should consider these and other findings to inform consumer education and communications strategies that can be tailored to assist restaurant patrons with this forthcoming federal law.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-2714-9) contains supplementary material, which is available to authorized users.

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“…This finding is consistent with the findings of other published evaluations of PSE-change initiatives. For example, Soler et al reported outcome evaluation findings from 6 PSE-change initiatives funded by CDC’s Communities Putting Prevention to Work program ( 27 ); most of these initiatives focused on changes to policies and environments ( 28 – 31 ), and none assessed changes in health behaviors or health outcomes. It is challenging to assess long-term changes resulting from PSE interventions when funding is typically limited to a few years.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Policy, Systems, and Environmental Change Interventions: Lessons Learned From CDC’s Prevention Research Centers

Honeycutt¹,

Leeman²,

McCarthy³

et al. 2015

Prev. Chronic Dis.

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IntroductionThe field of public health is increasingly implementing initiatives intended to make policies, systems, and environments (PSEs) more supportive of healthy behaviors, even though the evidence for many of these strategies is only emerging. Our objective was 3-fold: 1) to describe evaluations of PSE-change programs in which the evaluators followed the steps of the Centers for Disease Control and Prevention’s (CDC’s) Framework for Program Evaluation in Public Health, 2) to share the resulting lessons learned, and 3) to assist future evaluators of PSE-change programs with their evaluation design decisions.MethodsSeven Prevention Research Centers (PRCs) applied CDC’s framework to evaluate their own PSE-change initiatives. The PRCs followed each step of the framework: 1) engage stakeholders, 2) describe program, 3) focus evaluation design, 4) gather credible evidence, 5) justify conclusions, and 6) ensure use and share lessons learned.ResultsEvaluation stakeholders represented a range of sectors, including public health departments, partner organizations, and community members. Public health departments were the primary stakeholders for 4 of the 7 evaluations. Four PRCs used logic models to describe the initiatives being evaluated. Their evaluations typically included both process and outcome questions and used mixed methods. Evaluation findings most commonly focused on contextual factors influencing change (process) and the adoption or implementation of PSE-change strategies (outcome). Evaluators shared lessons learned through various channels to reach local stakeholders and broader public health audiences.Conclusion Framework for Program Evaluation in Public Health is applicable to evaluations of PSE-change initiatives. Using this framework to guide such evaluations builds practice-based evidence for strategies that are increasingly being used to promote healthful behaviors.

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Communities putting prevention to work: Local evaluation of community-based strategies designed to make healthy living easier

Cited by 7 publications

References 40 publications

Integrating nutrition and physical activity promotion: A scoping review

Integrating nutrition and physical activity promotion: A scoping review

Associations between self-perception of weight, food choice intentions, and consumer response to calorie information: a retrospective investigation of public health center clients in Los Angeles County before the implementation of menu-labeling regulation

Evaluating Policy, Systems, and Environmental Change Interventions: Lessons Learned From CDC’s Prevention Research Centers

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