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Lessons From a Pilot Community-Driven Approach for Obesity Prevention.

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    WMJ : Official Publication of the State Medical Society of Wisconsin
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    Summary
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    Community organizing and coalition efforts can prevent obesity by addressing root causes like poverty and cultural loss. Tailoring strategies to local contexts and fostering collaboration are key for successful community-driven change.

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    Area of Science:

    • Public Health
    • Community Health
    • Obesity Prevention

    Background:

    • The Wisconsin Obesity Prevention Initiative piloted a novel community action approach.
    • This initiative integrated coalition and community organizing efforts in two counties.

    Purpose of the Study:

    • To describe lessons learned from a pilot community action initiative for obesity prevention.
    • To evaluate the progress and support mechanisms within the pilot program.

    Main Methods:

    • Process evaluation from November 2014 to December 2015.
    • Reflections from community partners and initiative staff.

    Main Results:

    • Marathon County: Re-engagement and restructuring of an obesity coalition; community organizing identified poverty and transit as root causes.
    • Menominee County: Both approaches highlighted cultural assets for health and links between cultural loss and obesity.

    Conclusions:

    • Community action for obesity prevention requires context-specific strategies, stakeholder engagement, and external support.
    • Coalition action benefits from backbone staff for infrastructure and process facilitation.
    • Community organizing fosters resident engagement and leadership development.
    • A community-driven systems change model shows potential for enhancing obesity prevention efforts.