268047 Community Level Intervention to Address Childhood Obesity in Monroe County, NY: Preliminary Findings

Tuesday, October 30, 2012

Stewart J. Landers, JD, MCP , John Snow, Inc., Boston, MA
Bonnie DeVinney, MA , Greater Rochester Health Foundation, Rochester, NY
Eugenie Coakley, MA, MPH , John Snow, Inc., Boston, MA
Heidi Burke, MPH , Greater Rochester Health Foundation, Rochester, NY
Natasha Massoudi, MPH , John Snow, Inc., Boston, MA
Background: The Greater Rochester Health Foundation's (GRHF) Childhood Healthy Weight Initiative is a comprehensive 10-year community intervention to increase the percentage of healthy weight children ages 2-10 in Monroe County, New York, by 10% by 2017. Methods: Over the past five years, the GRHF has supported a holistic approach of four distinct strategies: 1) increase physical activity and improve nutrition (in schools, child care settings and mini-grants), 2) engage the clinical community, 3) advance policy and practice solutions, and 4) execute a community communications campaign. Results: John Snow, Inc. utilized a reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) framework and found evidence indicating successful program adoption and implementation. Body mass index measurement indicated improvement at child care sites and lack of change in suburban schools. Findings indicate that to increase the prevalence of healthy weight children requires maintaining healthy weight for children at the acceptable range and reducing number of children who are overweight or obese. Investments in physical activity and learning curricula need to include broadening opportunities for activity beyond physical education class. Challenges with regard to nutrition change include difficulty in changing school food service related to budgetary, equipment, training and menu control issues. Conclusion: A sustainable, evidence-based framework for a community level intervention should link components and messages to maximize synergy and impact. The influence of the initiative is increasing in the community, as evidenced by the number of community events and mini-grants awarded, and parental awareness of the media campaign.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related public policy

Learning Objectives:
Identify 2 methods for evaluating a community-level anti-obesity intervention List 2 challenges of assessing community impact

Keywords: Child Health Promotion, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of the evaluation of the Childhood Healthy Weight Initiative. I have directed the research upon which this abstract and potential presentation is based.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.