The proposed Mass in Motion: Community-Clinical Partnerships to Reduce Childhood Obesity will use the Obesity Chronic Care Model to implement and evaluate a comprehensive, systematic intervention to reduce childhood obesity among underserved children. The Massachusetts Department of Public Health (MDPH), in partnership with the Department of Population Medicine at Harvard Medical School, the Harvard School of Public Health, and the National Initiative for Children's Healthcare Quality, seeks to build on promising community-level experience and related clinical obesity prevention work in communities through the statewide Mass in Motion wellness initiative to develop an intervention in two cities, Fitchburg and New Bedford, that could be replicated throughout the state. The study proposes an integrated multi-sector and multi-level approach. It incorporates evidence-based interventions in primary health care (High Five for Kids), child care (I Am Moving, I am Learning;NAP SACC) and schools/after-school programs (Food &Fun, Eat Well and Keep Moving, and Planet Health), as well as policy change and a community-wide social marketing campaign to prevent or reduce obesity among predominantly low-income 2-12-year- old children. Using a combination of pre- post time series and quasi-experimental designs, we will examine the effectiveness of our intervention on individual-level lifestyle behaviors, change in body mass index (BMI), satisfaction with health care services, and quality of life.
The Specific Aims are: (1) In intervention v. comparison communities, examine the extent to which a multi-level, multi-sector intervention for children, based in pediatric primary care, early educatin and child care programs, elementary and middle schools, after school programs, and a community-wide social marketing campaign results in improvements in obesogenic behaviors. (2) In intervention v. comparison communities, achieve smaller age associated increases in BMI. (3) In health centers in the intervention communities, demonstrate increases in: BMI screening and counseling on the 5 targeted obesity-related behaviors for all children ages 2-12 years;Coordinated care by a multi-disciplinary clinical team and community health workers for children with an age- and sex-specific BMI e 85th percentile;Parental satisfaction with services and child obesity-related quality of life. (4) Collect data on the costs of the intervention activiies in preparation for cost-effectiveness analyses. (5) Develop a detailed implementation and dissemination guide for MDPH to use to support adoption in other communities across the state.

Public Health Relevance

The Massachusetts Department of Public Health has made the reduction of childhood obesity a priority, especially among racial/ethnic minority and low income populations. The proposed demonstration study will use the Obesity Chronic Care Model to implement and evaluate a comprehensive, multi-level, multi-sector intervention to reduce childhood obesity among low- income children in 2 communities of MA.

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Research Demonstration--Cooperative Agreements (U18)
Project #
5U18DP003370-04
Application #
8727283
Study Section
Special Emphasis Panel (ZDP1)
Project Start
2011-09-30
Project End
2015-09-29
Budget Start
2014-09-30
Budget End
2015-09-29
Support Year
4
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Massachusetts State Department of Pub Health
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02108
Woo Baidal, Jennifer A; Nelson, Candace C; Perkins, Meghan et al. (2017) Childhood obesity prevention in the women, infants, and children program: Outcomes of the MA-CORD study. Obesity (Silver Spring) 25:1167-1174
Franckle, Rebecca L; Falbe, Jennifer; Gortmaker, Steven et al. (2017) Student obesity prevalence and behavioral outcomes for the massachusetts childhood obesity research demonstration project. Obesity (Silver Spring) 25:1175-1182
Ganter, Claudia; Aftosmes-Tobio, Alyssa; Chuang, Emmeline et al. (2017) Lessons Learned by Community Stakeholders in the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Project, 2013-2014. Prev Chronic Dis 14:E08
Taveras, Elsie M; Perkins, Meghan; Anand, Shikha et al. (2017) Clinical effectiveness of the massachusetts childhood obesity research demonstration initiative among low-income children. Obesity (Silver Spring) 25:1159-1166
Freedman, David S; Butte, Nancy F; Taveras, Elsie M et al. (2017) The Limitations of Transforming Very High Body Mass Indexes into z-Scores among 8.7 Million 2- to 4-Year-Old Children. J Pediatr 188:50-56.e1
Freedman, David S; Butte, Nancy F; Taveras, Elsie M et al. (2017) BMI z-Scores are a poor indicator of adiposity among 2- to 19-year-olds with very high BMIs, NHANES 1999-2000 to 2013-2014. Obesity (Silver Spring) 25:739-746
Blaine, Rachel E; Franckle, Rebecca L; Ganter, Claudia et al. (2017) Using School Staff Members to Implement a Childhood Obesity Prevention Intervention in Low-Income School Districts: the Massachusetts Childhood Obesity Research Demonstration (MA-CORD Project), 2012-2014. Prev Chronic Dis 14:E03
Criss, Shaniece; Cheung, Lilian; Giles, Catherine et al. (2016) Media Competition Implementation for the Massachusetts Childhood Obesity Research Demonstration Study (MA-CORD): Adoption and Reach. Int J Environ Res Public Health 13:403
Criss, Shaniece; Tran, Alvin; Ganter, Claudia et al. (2016) A Cascade of Champions: A Qualitative Study about the MA-CORD Media Competition Implementation. Int J Environ Res Public Health 13:404
Ganter, Claudia; Aftosmes-Tobio, Alyssa; Chuang, Emmeline et al. (2016) Community Stakeholders' Perceptions of Major Factors Influencing Childhood Obesity, the Feasibility of Programs Addressing Childhood Obesity, and Persisting Gaps. J Community Health 41:305-14

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