Innovative and culturally appropriate multilevel policy and environmental interventions are greatly needed to address the obesity epidemic in high-risk populations. However, the vast majority of intervention strategies have focused on selected targets and approaches, e.g., educating consumers about healthy food choices, while in many settings reduced access to healthy food choices greatly limits impact. MOPS will test an innovative multi-level intervention, which directly addresses the complex systems associated with childhood eating behaviors and adiposity. Our overarching goal is to develop and evaluate a community based obesity prevention program, which operates at multiple levels of an urban food system (policy, wholesaler, corner stores, carryout, household, individual;in Baltimore, MD), and will improve the healthy food supply chain to increase affordability, availability, purchasing and consumption of healthy foods within lowincome minority neighborhoods. Our proposed research will include stakeholders/ partners at different levels, e.g., the policy, wholesaler, retailer, adult caregiver, and individual child levels, and then develop, implement, and assess a two year multi-level systems-based child obesity prevention strategy targeting minority and low income children (predominantly AA). Thirty low-income, predominantly AA geographic zones will be identified (""""""""healthy eating zones""""""""). Half of these zones will be randomized to intervention, while the other half will be control. Within each intervention zone we will work with at least 5 small food stores and prepared food sources to increase access to healthy foods through wholesaler discounts, display point of purchase promotional materials, and provide nutrition and food preparation education targeting youth and caregivers. We will work with local policymakers to institutionalize and sustain these changes. The project will evaluate the impact of the program on: a) healthy food pricing and availability, b) low income African American adult food purchasing and preparation, and c) low-income African American youth diet, and associated psychosocial factors. The proposed intervention trial directly addresses the RFA by utilizing a systems-based approach to test and evaluate structural interventions at multiple levels.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Specialized Center--Cooperative Agreements (U54)
Project #
Application #
Study Section
Special Emphasis Panel (ZHD1-DSR-A)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Johns Hopkins University
United States
Zip Code
Tan, Zhengqi; Min, Jungwon; Xue, Hong et al. (2018) Parenting practices and overweight status of junior high school students in China: A nationally representative study of 19,487 students from 112 schools. Prev Med 107:1-7
Trude, Angela C B; Anderson Steeves, Elizabeth; Shipley, Cara et al. (2018) A Youth-Leader Program in Baltimore City Recreation Centers: Lessons Learned and Applications. Health Promot Pract 19:75-85
Ghesmaty Sangachin, Mahboobeh; Cavuoto, Lora A; Wang, Youfa (2018) Use of various obesity measurement and classification methods in occupational safety and health research: a systematic review of the literature. BMC Obes 5:28
Trude, Angela C B; Surkan, Pamela J; Cheskin, Lawrence J et al. (2018) A multilevel, multicomponent childhood obesity prevention group-randomized controlled trial improves healthier food purchasing and reduces sweet-snack consumption among low-income African-American youth. Nutr J 17:96
Min, Jungwon; Fang Yan, Alice; Wang, Youfa (2018) Mismatch in Children's Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10-Year, Nationwide, Longitudinal Study. Obesity (Silver Spring) 26:1777-1784
Loh, Ivory H; Schwendler, Teresa; Trude, Angela C B et al. (2018) Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results. Inquiry 55:46958018779189
Min, Jungwon; Yan, Alice Fang; Wang, Vivian H C et al. (2018) Obesity, body image, and its impact on children's eating and exercise behaviors in China: A nationwide longitudinal study. Prev Med 106:101-106
Ruggiero, C F; Poirier, L; Trude, A C B et al. (2018) Implementation of B'More Healthy Communities for Kids: process evaluation of a multi-level, multi-component obesity prevention intervention. Health Educ Res 33:458-472
Perepezko, K; Tingey, L; Sato, P et al. (2018) Partnering with carryouts: implementation of a food environment intervention targeting youth obesity. Health Educ Res 33:4-13
Trude, Angela Cristina Bizzotto; Kharmats, Anna Yevgenyevna; Jones-Smith, Jessica C et al. (2018) Exposure to a multi-level multi-component childhood obesity prevention community-randomized controlled trial: patterns, determinants, and implications. Trials 19:287

Showing the most recent 10 out of 179 publications