BACKGROUND: Almost 40% of children are overweight or obese by age 8 years in the US-Affiliated Pacific, inclusive of the five jurisdictions of Alaska, Hawaii, American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. This article describes how the Children's Healthy Living (CHL) Program used the ANGELO (Analysis Grid for Environments/Elements Linked to Obesity) model to design a regional intervention to increase fruit and vegetable intake, water consumption, physical activity, and sleep duration and decrease recreational screen time and sugar-sweetened beverage consumption in young children ages 2-8 years. METHODS: Using the ANGELO model, CHL (1) engaged community to identify preferred intervention strategies, (2) reviewed scientific literature, (3) merged findings from community and literature, and (4) formulated the regional intervention. RESULTS: More than 900 community members across the Pacific helped identify intervention strategies on importance and feasibility. Nine common intervention strategies emerged. Participants supported the idea of a regional intervention while noting that cultural and resource differences would require flexibility in its implementation in the five jurisdictions. Community findings were merged with the effective obesity-reducing strategies identified in the literature, resulting in a regional intervention with four cross-cutting functions: (1) initiate or strengthen school wellness policies; (2) partner and advocate for environmental change; (3) promote CHL messages; and (4) train trainers to promote CHL behavioral objectives for children ages 2-8 years. These broad functions guided intervention activities and allowed communities to tailor activities to maximize intervention fit. CONCLUSIONS: Using the ANGELO model assured that the regional intervention was evidence based while recognizing jurisdiction context, which should increase effectiveness and sustainability.
BACKGROUND: Almost 40% of children are overweight or obese by age 8 years in the US-Affiliated Pacific, inclusive of the five jurisdictions of Alaska, Hawaii, American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands. This article describes how the Children's Healthy Living (CHL) Program used the ANGELO (Analysis Grid for Environments/Elements Linked to Obesity) model to design a regional intervention to increase fruit and vegetable intake, water consumption, physical activity, and sleep duration and decrease recreational screen time and sugar-sweetened beverage consumption in young children ages 2-8 years. METHODS: Using the ANGELO model, CHL (1) engaged community to identify preferred intervention strategies, (2) reviewed scientific literature, (3) merged findings from community and literature, and (4) formulated the regional intervention. RESULTS: More than 900 community members across the Pacific helped identify intervention strategies on importance and feasibility. Nine common intervention strategies emerged. Participants supported the idea of a regional intervention while noting that cultural and resource differences would require flexibility in its implementation in the five jurisdictions. Community findings were merged with the effective obesity-reducing strategies identified in the literature, resulting in a regional intervention with four cross-cutting functions: (1) initiate or strengthen school wellness policies; (2) partner and advocate for environmental change; (3) promote CHL messages; and (4) train trainers to promote CHL behavioral objectives for children ages 2-8 years. These broad functions guided intervention activities and allowed communities to tailor activities to maximize intervention fit. CONCLUSIONS: Using the ANGELO model assured that the regional intervention was evidence based while recognizing jurisdiction context, which should increase effectiveness and sustainability.
Authors: Rachel Novotny; Marie K Fialkowski; Aufa'i Apulu Ropeti Areta; Andrea Bersamin; Kathryn Braun; Barbara DeBaryshe; Jonathan Deenik; Michael Dunn; James Hollyer; Jang Kim; Rachael T Leon Guerrero; Claudio R Nigg; Ron Takahashi; Lynne R Wilkens Journal: Hawaii J Med Public Health Date: 2013-11
Authors: Christina D Economos; Raymond R Hyatt; Jeanne P Goldberg; Aviva Must; Elena N Naumova; Jessica J Collins; Miriam E Nelson Journal: Obesity (Silver Spring) Date: 2007-05 Impact factor: 5.002
Authors: A Simmons; H M Mavoa; A C Bell; M De Courten; D Schaaf; J Schultz; B A Swinburn Journal: Health Promot Int Date: 2009-09-16 Impact factor: 2.483
Authors: Jean Butel; Kathryn L Braun; Rachel Novotny; Mark Acosta; Rose Castro; Travis Fleming; Julianne Powers; Claudio R Nigg Journal: Transl Behav Med Date: 2015-08-04 Impact factor: 3.046
Authors: Joshua A Greenberg; Bret Luick; Julia M Alfred; L Robert Barber; Andrea Bersamin; Patricia Coleman; Monique Esquivel; Travis Fleming; Rachael T Leon Guerrero; James Hollyer; Emihner Lorrin Johnson; Rachel Novotny; Shelley deBlair Remengesau; Ashley Yamanaka Journal: Hawaii J Health Soc Welf Date: 2020-07-01
Authors: Ulla Toft; Paul Bloch; Helene C Reinbach; Lise L Winkler; Tine Buch-Andersen; Jens Aagaard-Hansen; Bent Egberg Mikkelsen; Bjarne Bruun Jensen; Charlotte Glümer Journal: Int J Environ Res Public Health Date: 2018-05-28 Impact factor: 3.390
Authors: Joel Gittelsohn; Rachel Novotny; Angela Cristina Bizzotto Trude; Jean Butel; Bent Egberg Mikkelsen Journal: Int J Environ Res Public Health Date: 2018-12-24 Impact factor: 3.390
Authors: Ashley B Yamanaka; James D Davis; Lynne R Wilkens; Eric L Hurwitz; Marie K Fialkowski; Jonathan Deenik; Rachael T Leon Guerrero; Rachel Novotny Journal: Prev Chronic Dis Date: 2021-06-24 Impact factor: 4.354
Authors: Rachel Novotny; James Davis; Jean Butel; Carol J Boushey; Marie Kainoa Fialkowski; Claudio R Nigg; Kathryn L Braun; Rachael T Leon Guerrero; Patricia Coleman; Andrea Bersamin; Aufai Apulu Ropeti Areta; Leroy R Barber; Tayna Belyeu-Camacho; Joshua Greenberg; Travis Fleming; Elise Dela Cruz-Talbert; Ashley Yamanaka; Lynne R Wilkens Journal: JAMA Netw Open Date: 2018-10-05