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Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014

INTRODUCTION: Childhood obesity is a multifaceted disease that requires sustainable, multidimensional approaches that support change at the individual, community, and systems levels. The Massachusetts Childhood Obesity Research Demonstration project addressed this need by using clinical and public h...

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Autores principales: Ganter, Claudia, Aftosmes-Tobio, Alyssa, Chuang, Emmeline, Kwass, Jo-Ann, Land, Thomas, Davison, Kirsten K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268744/
https://www.ncbi.nlm.nih.gov/pubmed/28125400
http://dx.doi.org/10.5888/pcd14.160273
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author Ganter, Claudia
Aftosmes-Tobio, Alyssa
Chuang, Emmeline
Kwass, Jo-Ann
Land, Thomas
Davison, Kirsten K.
author_facet Ganter, Claudia
Aftosmes-Tobio, Alyssa
Chuang, Emmeline
Kwass, Jo-Ann
Land, Thomas
Davison, Kirsten K.
author_sort Ganter, Claudia
collection PubMed
description INTRODUCTION: Childhood obesity is a multifaceted disease that requires sustainable, multidimensional approaches that support change at the individual, community, and systems levels. The Massachusetts Childhood Obesity Research Demonstration project addressed this need by using clinical and public health evidence-based methods to prevent childhood obesity. To date, little information is known about successes and lessons learned from implementing such large-scale interventions. To address this gap, we examined perspectives of community stakeholders from various sectors on successes achieved and lessons learned during the implementation process. METHODS: We conducted 39 semistructured interviews with key stakeholders from 6 community sectors in 2 low-income communities from November 2013 through April 2014, during project implementation. Interviews were audio-recorded, transcribed, and analyzed by using the constant comparative method. Data were analyzed by using QSR NVivo 10. RESULTS: Successes included increased parental involvement in children’s health and education, increased connections within participating organizations and within the broader community, changes in organizational policies and environments to better support healthy living, and improvements in health behaviors in children, parents, and stakeholders. Lessons learned included the importance of obtaining administrative and leadership support, involving key stakeholders early in the program planning process, creating buffers that allow for unexpected changes, and establishing opportunities for regular communication within and across sectors. CONCLUSION: Study findings indicate that multidisciplinary approaches support health behavior change and provide insight into key issues to consider in developing and implementing such approaches in low-income communities.
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spelling pubmed-52687442017-02-03 Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014 Ganter, Claudia Aftosmes-Tobio, Alyssa Chuang, Emmeline Kwass, Jo-Ann Land, Thomas Davison, Kirsten K. Prev Chronic Dis Original Research INTRODUCTION: Childhood obesity is a multifaceted disease that requires sustainable, multidimensional approaches that support change at the individual, community, and systems levels. The Massachusetts Childhood Obesity Research Demonstration project addressed this need by using clinical and public health evidence-based methods to prevent childhood obesity. To date, little information is known about successes and lessons learned from implementing such large-scale interventions. To address this gap, we examined perspectives of community stakeholders from various sectors on successes achieved and lessons learned during the implementation process. METHODS: We conducted 39 semistructured interviews with key stakeholders from 6 community sectors in 2 low-income communities from November 2013 through April 2014, during project implementation. Interviews were audio-recorded, transcribed, and analyzed by using the constant comparative method. Data were analyzed by using QSR NVivo 10. RESULTS: Successes included increased parental involvement in children’s health and education, increased connections within participating organizations and within the broader community, changes in organizational policies and environments to better support healthy living, and improvements in health behaviors in children, parents, and stakeholders. Lessons learned included the importance of obtaining administrative and leadership support, involving key stakeholders early in the program planning process, creating buffers that allow for unexpected changes, and establishing opportunities for regular communication within and across sectors. CONCLUSION: Study findings indicate that multidisciplinary approaches support health behavior change and provide insight into key issues to consider in developing and implementing such approaches in low-income communities. Centers for Disease Control and Prevention 2017-01-26 /pmc/articles/PMC5268744/ /pubmed/28125400 http://dx.doi.org/10.5888/pcd14.160273 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Ganter, Claudia
Aftosmes-Tobio, Alyssa
Chuang, Emmeline
Kwass, Jo-Ann
Land, Thomas
Davison, Kirsten K.
Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title_full Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title_fullStr Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title_full_unstemmed Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title_short Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013–2014
title_sort lessons learned by community stakeholders in the massachusetts childhood obesity research demonstration (ma-cord) project, 2013–2014
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268744/
https://www.ncbi.nlm.nih.gov/pubmed/28125400
http://dx.doi.org/10.5888/pcd14.160273
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