From good ideas to actions: A model-driven community collaborative to prevent childhood obesity

Huberty, Jennifer; Balluff, Mary; O'Dell, Molly; Peterson, Kerri

doi:10.1016/j.ypmed.2009.08.013

Cited by 14 publications

(17 citation statements)

References 15 publications

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“…Context may determine the degree or nature of involvement, but actors from political and policy arenas should have a role in the research development and implementation process. Economic feasibility and cultivating shared values in partnership with decision makers that together translate into political will are critical for sustained impact [2,31]. Policy makers have commented upon the naivety of public health researchers regarding political processes that lead to policy action including lack of recognition that even ‘rigorously validated’ evidence requires an enabling environment to be applied in policy and practice [2,8,11].…”

Section: Resultsmentioning

confidence: 99%

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Sustained impact of community-based physical activity interventions: key elements for success

Haggis¹,

Sims‐Gould

Winters

et al. 2013

BMC Public Health

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BackgroundCompelling evidence supports the cost effectiveness and potential impact of physical activity on chronic disease prevention and health promotion. Quality of evidence is one piece, but certainly not the sole determinant of whether public health interventions, physical activity focused or otherwise, achieve their full potential for impact. Health promotion at both population and community levels must progress beyond health intervention models that isolate individuals from social, environmental, and political systems of influence.We offer a critical evaluation of lessons learned from two successful research initiatives to provide insights as to how health promotion research contributes to sustained impact. We highlight factors key to success including the theoretical and methodological integration of: i) a social ecological approach; ii) participatory action research (PAR) methods; and iii) an interdisciplinary team.MethodsTo identify and illustrate the key elements of our success we layered an evaluation of steps taken atop a review of relevant literature.ResultsIn the school-based case study (Action Schools! BC), the success of our approach included early and sustained engagement with a broad cross-section of stakeholders, establishing partnerships across sectors and at different levels of government, and team members across multiple disciplines. In the neighbourhood built environment case study, the three domains guided our approach through study design and team development, and the integration of older adults’ perspectives into greenway design plans. In each case study we describe how elements of the domains serve as a guide for our work.ConclusionTo sustain and maximize the impact of community-based public health interventions we propose the integration of elements from three domains of research that acknowledge the interplay between social, environmental and poilitical systems of influence. We emphasize that a number of key factors determine whether evidence from public health interventions in school and built environment settings is applied in practice and policy sectors. These include relationship building at individual, community, and societal levels of the social ecological model, using participatory action research methods, and involving an engaged and committed interdisciplinary team.

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Section: Resultsmentioning

confidence: 99%

“…Quality of evidence is one piece, but certainly not the sole determinant of whether public health interventions, physical activity focused or otherwise, achieve their full potential for impact [2,3]. The literature speaks to a number of other factors at play.…”

Section: Introductionmentioning

confidence: 99%

Sustained impact of community-based physical activity interventions: key elements for success

Haggis¹,

Sims‐Gould

Winters

et al. 2013

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…these programs have access to trained school staff and well-61 CHILDHOOD OBESITY February 2012 maintained facilities while avoiding competition with academic pursuits. 13,16 this paper reports the results of the Medical College of Georgia (MCG) FitKid Program (FitKid), a voluntary, nofee, after-school obesity prevention program. 17 the primary hypothesis was that FitKid would have a favorable effect on percent body fat (%bF) and cardiorespiratory fitness (CRF) in young children.…”

Section: Introductionmentioning

confidence: 99%

The Impact of a 3-Year After-School Obesity Prevention Program in Elementary School Children

et al. 2012

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Background: Children tend to be sedentary during the after-school hours, and this has deleterious effects on their health. the objective of the present study was to determine the effects of a 3-year after-school physical activity (PA) program, without restriction of dietary energy intake, on percent body fat (%bF), cardiorespiratory fitness (CRF), and cardiometabolic markers in children.Methods: A cluster randomization design was employed. A total of 574 3 rd grade children from 18 elementary schools in the southeastern United states participated. the intervention consisted of 80 minutes of age-appropriate moderate-to-vigorous PA each school day. the main outcomes of interest were %bF measured by dual-energy X-ray absorptiometry; CRF measured by heart rate in response to a submaximal step test; nonfasting total and high-density lipoprotein cholesterol (HDL-C); and resting blood pressure (bP).Results: intent-to-treat analyses showed significant treatment by time interactions for %bF (p = 0.009) and CRF (p = 0.0003). the change pattern of the means suggested that %bF and CRF in intervention children improved relative to control children during the school months, rebounding to the levels of control children over the summers following years 1 and 2. year-by-year analyses of what occurred during the months when the program was offered revealed dose-response relations for %bF and CRF, such that the clearest beneficial effects were seen for those youth who attended at least 60% of the after-school sessions. No significant intervention effects were seen for cholesterol or bP.Conclusions: An after-school PA program was effective in reducing adiposity and improving CRF, especially in the children who attended the sessions at least 3 days/week. However, the favorable effects on %bF and CRF were lost over the summer. thus, it is critical to incorporate strategies that attract and retain the children to receive an adequate dose of PA year-round.

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“…23 The NATC-led policy process in Malawi was the first to use a broad consultative approach. The content of the NAP was informed by a participatory process at the community level in those districts visited by the NATC.…”

Section: Discussionmentioning

confidence: 99%

Informal alcohol in Malawi: Stakeholder perceptions and policy recommendations

Limaye

Rutkow

Rimal

et al. 2013

J Public Health Pol

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Through the eyes of those involved in the alcohol policy-making process in Malawi, we explored the role of informal (non-commercial) alcohol in rural communities, its harmful effects, and implications for appropriate national policy. Harms included early drinking initiation, violence, and sexual risk exposure. Informants suggested that policy should address informal alcohol's content, selling times, and easy access. Because most informal alcohol producers are women who rely upon sales for subsistence, policies must avoid limiting women's economic opportunities while protecting community health.

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From good ideas to actions: A model-driven community collaborative to prevent childhood obesity

Cited by 14 publications

References 15 publications

Sustained impact of community-based physical activity interventions: key elements for success

Sustained impact of community-based physical activity interventions: key elements for success

The Impact of a 3-Year After-School Obesity Prevention Program in Elementary School Children

Informal alcohol in Malawi: Stakeholder perceptions and policy recommendations

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