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Assess, Identify, Make it Happen (AIM) for Preschools: A Tool to Decrease Early Childhood Obesity

Charlotte V Farewell1, Jini E Puma1, Jamie Powers1

  • 11 University of Colorado-Denver, Aurora, CO, USA.

Health Promotion Practice
|December 10, 2017
PubMed

Insights

Implementing policy, system, and environment (PSE) changes in early child care settings is crucial for preventing childhood obesity. The Assess, Identify, Make it Happen for Preschools (AIM-P) strategy successfully guided wellness teams in making these vital health behavior changes.

Area of Science:

  • Public Health
  • Pediatrics
  • Behavioral Science

Background:

  • Early childhood obesity is a significant public health concern, increasing risks for adult chronic diseases.
  • Early child care settings significantly influence the development of obesogenic behaviors in preschoolers.
  • Implementing best practice policy, system, and environment (PSE) changes in these settings faces challenges in resource-limited environments.

Purpose of the Study:

  • To evaluate the effectiveness of the Assess, Identify, Make it Happen for Preschools (AIM-P) strategic planning process.
  • To support early child care centers in implementing PSE changes that promote healthy behaviors.
  • To identify facilitators and barriers to implementing PSE changes using the AIM-P strategy.

Main Methods:

  • The AIM-P process, based on intervention mapping, guided wellness teams in strategic planning.
  • Key strategies included needs assessments, prioritization, action planning, and sustainability planning.
  • The process was implemented in early child care centers to drive PSE changes.

Main Results:

  • The AIM-P process facilitated the implementation of an average of 6.5 best practice PSE changes per site.
  • Qualitative data provided insights into lessons learned during the implementation process.
  • Key facilitators and barriers to using AIM-P for PSE implementation were identified.

Conclusions:

  • The AIM-P strategic planning process is an effective method for implementing health-promoting PSE changes in early child care settings.
  • Addressing challenges such as staff turnover and resource limitations is crucial for successful implementation.
  • This approach offers a scalable model for improving child health outcomes in early care environments.

Keywords:
behavior changecommunity interventioncommunity-based participatory researchobesityschool health

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