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Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making B Other Evidence Projects Table B-1 lists a sampling of current efforts to improve research and practice in the field of obesity prevention or public health. The committee considered these efforts when assessing the strengths and limitations of current approaches for generating and evaluating evidence on obesity prevention. The efforts listed in this table are focused on the provision of guidelines for selecting prevention interventions, identifying appropriate outcome measures for obesity prevention, evaluating the strength of evidence for prevention approaches, and using evidence. Sources of systematic reviews are also included. TABLE B-1 Other Evidence Projects Project Name Funder(s)/Investigator(s) Purpose Website Guidelines Guide to Community Preventive Services Centers for Disease Control and Prevention (CDC) To inform the choice of programs and policies for improving health and preventing disease in a given community. http://www.thecommunityguide.org Guidelines, Development, and Recommendations Team CDC’s Division of Nutrition, Physical Activity, and Obesity To establish a scientific evidence base for what works. This team works in conjunction with the Guide to Community Preventive Services and the U.S. Task Force on Community Preventive Services to issue recommendations for obesity prevention and control interventions in worksite, medical care, and community settings, and to provide materials that will help users implement the interventions. None
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Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making Project Name Funder(s)/Investigator(s) Purpose Website Measures Common Community Measures for Obesity Prevention (COCOMO) CDC, CDC Foundation, Robert Wood Johnson Foundation (RWJF), W.K. Kellogg Foundation, Kaiser Permanente To identify a core set of community-level measures, focusing on policy and environmental strategies that impact obesity prevention that can be used for research and can serve as baseline variables for planning and evaluation. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm Evaluation Center of Excellence for Training and Research Translation University of North Carolina, CDC To identify, translate, and disseminate evidence-based interventions, best practices/processes, and implementation tools for use by public health practitioners. http://www.center-trt.org/ Early Assessment of Programs and Policies to Prevent Childhood Obesity CDC Division of Adolescent and School Health, RWJF, Prevention Research Centers Program Office, CDC Foundation, and Macro International Inc. To identify a set of promising local programs and policies (addressing the physical, social, or economic environment) implemented to address obesity among children aged 3-17 and to determine which ones merit rigorous evaluation. Priority is placed on programs and policies implemented in community settings and targeting low-income children to improve eating habits and physical activity levels. http://www.cdc.gov/prc/research-projects/associated-projects/identifying-localchildhood-obesityprevention-programspolicies.htm Practice-Based Evidence Project in Worksites—Swift Worksite Assessment and Translation (SWAT) CDC Division of Nutrition, Physical Activity, and Obesity To judge the promise of worksite health promotion practices. The SWAT evaluation method is a tool that uses a set of criteria, rather than a comparison group, for single-worksite assessments. http://www.cdc.gov/nccdphp/dnpa/hwi/program_design/swat/index.htm Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Workgroup members: David Dzewaltowski, Paul Estabrooks, Russ Glasgow, and Lisa Klesges; funded by RWJF To implement and evaluate an explanatory framework for measuring intervention impact in its broadest sense. The framework is a systematic way for researchers and decision makers to evaluate health behavior interventions. http://www.re-aim.org Systematic Reviews Centre for Reviews and Dissemination University of York and National Institute for Health Research To undertake systematic reviews of research evidence on health and public health questions of national and international importance. The findings are widely disseminated and have impacted health care policy and practice in the United Kingdom and internationally. http://www.york.ac.uk/inst/crd/index.htm
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Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making Project Name Funder(s)/Investigator(s) Purpose Website Cochrane Public Health Review Group Cochrane Collaboration To produce systematic reviews of population-level interventions; contribute to methodological developments in the synthesis of public health research; transfer knowledge and exchange initiatives; and develop strategies for primary research on and rigorous evaluations of population-level interventions (policy, programs, legislation, community interventions), including maintaining a specialized studies register. http://www.ph.cochrane.org/en/index.html Development of Evidence Standards for Child Health Promotion Nemours Health and Prevention Services, The Commonwealth Fund, and the Agency for Healthcare Research and Quality To propose and disseminate a set of clearly defined evidence standards appropriate for primary care that can be used to determine the effectiveness of preventive and developmental services for children and allow the advancement of the field through the proper development and analysis of scientific evidence. http://www.commonwealthfund.org/Content/Grants/2006/Dec/Developing-New-Evidence-Standards-for-Child-Development-and-Health-Promotion-Services—Phase-2.aspx Effective Public Health Practice Project (EPHPP) Ontario Public Health Research, Education and Development Program To conduct systematic reviews of the effectiveness of public health interventions and summarize recent high-quality reviews produced by others. The products of these reviews are disseminated as resources for evidence-based decision making in public health in Canada. http://www.ephpp.ca/index.htm Review of Environmental and Policy Interventions for Childhood Obesity Prevention (EPNP) Transtria, LLC with RWJF and Washington University Public Health Institute (1) To create a systematic annual review process for classifying environmental and policy interventions for childhood obesity prevention into levels of evidence. (2) To identify environmental and policy interventions in nutrition and physical activity with applicability in children aged 3-18 emerging from existing evidence-based review processes. (3) To review and summarize emerging evidence-based environmental and policy interventions in nutrition and physical activity with applicability in children aged 3-18 with respect to a range of research- and practice-based levels of evidence. http://www.transtria.com/projects.php
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Bridging the Evidence Gap in Obesity Prevention: A Framework to Inform Decision Making Project Name Funder(s)/Investigator(s) Purpose Website Uses of Evidence Collaboration of Community-based Obesity Prevention Sites (CO-OPS Collaboration) Australian Government Department of Health and Ageing To support community-based obesity prevention initiatives through a collaborative approach to promoting best practices and knowledge translation, and through the provision of networking opportunities, support, and advice. http://www.co-ops.net.au/ Health Evidence Canada National Collaborating Centre for Aboriginal Health (NCCAH), National Collaborating Centre for Environmental Health (NCCEH), National Collaborating Centre for Healthy Public Policy (NCCHPP), National Collaborating Centre for Infectious Diseases (NCCID), National Collaborating Centre for Methods and Tools (NCCMT), City of Hamilton Public Health Service Division To facilitate the adoption and implementation of effective policies/programs/interventions at the local and regional public health decision-making levels across Canada, and to provide decision makers with tools that will enhance their quality assessment skills and to customize the content they receive to specified areas of interest. http://health-evidence.ca National Registry of Evidence-Based Programs and Practices Substance Abuse and Mental Health Services Administration To assist the public in identifying approaches to preventing and treating mental and/or substance use disorders that have been scientifically tested and that can be readily disseminated to the field. http://www.nrepp.samhsa.gov/ Roundtable on Evidence-Based Medicine Institute of Medicine To convene leadership from key health care sectors to catalyze the collaborative work needed to drive improvements in the effectiveness and efficiency of medical care by transforming how evidence is developed and used in health care. http://www.iom.edu/ebm TREND—Transparent Reporting of Evaluations with Nonrandomized Designs Various public health collaborators as an outgrowth of a CDC meeting To develop standardized, transparent reporting standards for nonrandomized intervention research evaluations in public health–related fields http://www.cdc.gov/trendstatement/