As the public health threat of childhood obesity has become clear, the issue has become the focus of local, state, and national initiatives. Many of these efforts are centered on the community environment in recognition of the role of environmental factors in individual behaviors related to food and physical activity. In many communities, for example, fresh produce is not available or affordable, streets and parks are not amenable to exercise, and policies and economic choices make fast food cheaper and more convenient than healthier alternatives.
Community efforts to combat obesity vary in scope and scale; overall, however, they remain fragmented, and little is known about their effectiveness. At the local level, communities are struggling to determine which obesity prevention programs to initiate and how to evaluate their impact.
In this context, the Institute of Medicine held two workshops to inform current work on obesity prevention in children through input from individuals who are actively engaged in community- and policy-based obesity prevention programs. Community perspectives were elicited on the challenges involved in undertaking policy and programmatic interventions aimed at preventing childhood obesity, and on approaches to program implementation and evaluation that have shown promise. Highlights of the workshop presentations and discussions are presented in this volume.
Table of Contents
|SUMMARY OF WORKSHOP--June 2008||1-2|
|2 Perspectives of Evaluators||5-10|
|3 Perspectives of Site Leaders||11-14|
|SUMMARY OF WORKSHOP 2--May 2009||17-18|
|5 Community-Based Programs: How Does Information Help Them Achieve Their Goals?||29-46|
|6 Research and Advocacy Groups: How Does Evidence Inform Policy?||47-62|
|7 Decision Makers: How Do Community Perspectives Influence Policy?||63-74|
|8 Closing Remarks||75-78|
|Appendix A: Workshop Agendas||81-84|
|Appendix B: Biographical Sketches||85-92|
|Appendix C: Workshop Attendees||93-96|
The video centers on the idea of “cross-sector work.” When considering the challenge of obesity in the U.S., this idea is of particular importance. There are many conflicting theories of what causes obesity, and many ideas of what solutions will work to solve it. There’s a lot of debate about what’s working, and if obesity rates are declining, increasing, or remaining stable. However, from communities where steady drops in obesity rates have been seen, cross-sector approaches to prevention have played a major role.
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