V L Collie-Akers1, J A Schultz1, S B Fawcett1, S Landry1, S Obermeier1, E A Frongillo2, M Forthofer3, N Weinstein4, S A Weber5, A Logan5, S S Arteaga6, L Nebeling7, L E Au8. 1. Center for Health and Community Development, University of Kansas, Lawrence, KS, USA. 2. Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, USA. 3. Department of Public Health Sciences, College of Health and Human Services, University of North Carolina Charlotte, Charlotte, NC, USA. 4. Battelle Health and Analytics, St. Louis, MI, USA. 5. Battelle Health and Analytics, Columbus, OH, USA. 6. National Heart, Lung, and Blood Institute, Bethesda, MD, USA. 7. National Cancer Institute, Bethesda, MD, USA. 8. Nutrition Policy Institute, Division of Agriculture and Natural Resources, University of California, Berkeley, CA, USA.
Abstract
INTRODUCTION: Efforts to address the critical public health problem of childhood obesity are occurring across the USA; however, little is known about how to characterize the intensity of these efforts. OBJECTIVES: The purposes of this study are to describe the intensity of community programs and policies (CPPs) to address childhood obesity in 130 US communities and to examine the extent to which observed CPPs targeted multiple behaviours and employed a comprehensive array of strategies. METHODS: To document CPPs occurring over a 10-year period, key informants were interviewed using a semi-structured interview protocol. Staff coded CPPs for key characteristics related to intensity, including reach, duration and strategy. Three types of CPP scores were calculated for intensity of CPPs, targeting of CPPs towards multiple behaviours and strategies used. RESULTS: Nine thousand six hundred eighty-one CPPs were identified. On average, communities had 74 different CPPs in place (standard deviation 30), with variation in documented CPPs (range 25-295). Most communities experienced a steady, modest increase in intensity scores over 10 years. CPP targeting scores suggested that communities expanded the focus of their efforts over time to include more behaviours and strategies. CONCLUSIONS: Findings of this large-scale study indicate that great variation exists across communities in the intensity and focus of community interventions being implemented to address childhood obesity.
INTRODUCTION: Efforts to address the critical public health problem of childhood obesity are occurring across the USA; however, little is known about how to characterize the intensity of these efforts. OBJECTIVES: The purposes of this study are to describe the intensity of community programs and policies (CPPs) to address childhood obesity in 130 US communities and to examine the extent to which observed CPPs targeted multiple behaviours and employed a comprehensive array of strategies. METHODS: To document CPPs occurring over a 10-year period, key informants were interviewed using a semi-structured interview protocol. Staff coded CPPs for key characteristics related to intensity, including reach, duration and strategy. Three types of CPP scores were calculated for intensity of CPPs, targeting of CPPs towards multiple behaviours and strategies used. RESULTS: Nine thousand six hundred eighty-one CPPs were identified. On average, communities had 74 different CPPs in place (standard deviation 30), with variation in documented CPPs (range 25-295). Most communities experienced a steady, modest increase in intensity scores over 10 years. CPP targeting scores suggested that communities expanded the focus of their efforts over time to include more behaviours and strategies. CONCLUSIONS: Findings of this large-scale study indicate that great variation exists across communities in the intensity and focus of community interventions being implemented to address childhood obesity.
Authors: K L Webb; S C Hewawitharana; L E Au; V Collie-Akers; W J Strauss; A J Landgraf; J Nagaraja; D K Wilson; R Sagatov; J Kao; C M Loria; S B Fawcett; L D Ritchie Journal: Pediatr Obes Date: 2018-06-19 Impact factor: 4.000
Authors: R R Pate; E A Frongillo; K L McIver; N Colabianchi; D K Wilson; V L Collie-Akers; J A Schultz; J Reis; K Madsen; G Woodward-Lopez; D Berrigan; A Landgraf; J Nagaraja; W J Strauss Journal: Pediatr Obes Date: 2018-06-13 Impact factor: 4.000
Authors: L D Ritchie; G Woodward-Lopez; L E Au; C M Loria; V Collie-Akers; D K Wilson; E A Frongillo; W J Strauss; A J Landgraf; J Nagaraja; R D F Sagatov; H L Nicastro; L C Nebeling; K L Webb Journal: Pediatr Obes Date: 2018-07-10 Impact factor: 4.000
Authors: Vicki L Collie-Akers; Stephen B Fawcett; Jerry A Schultz; Kandace K Fleming; Rebecca E Swinburne Romine; Lorrene D Ritchie; Edward A Frongillo; S Sonia Arteaga Journal: Prev Chronic Dis Date: 2020-05-07 Impact factor: 2.830