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Communities for healthy living (CHL) - A family-centered childhood obesity prevention program integrated into Head

Jacob P Beckerman1, Alyssa Aftosmes-Tobio1, Nicole Kitos1

  • 1Department of Nutrition, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, United States.

Contemporary Clinical Trials
|January 11, 2019
PubMed

Insights

Communities for Healthy Living (CHL) is a novel childhood obesity prevention program for Head Start preschools. This program integrates family context and addresses implementation challenges for better results.

Area of Science:

  • Public Health
  • Childhood Obesity Prevention
  • Implementation Science

Background:

  • Childhood obesity is a prevalent public health issue with significant health consequences.
  • Existing interventions show mixed results, often lacking family context and addressing implementation challenges in low-resource settings.
  • Communities for Healthy Living (CHL) is an obesity prevention program for Head Start preschools, emphasizing theory and practical implementation.

Purpose of the Study:

  • To outline the design, content, implementation, and evaluation of the Communities for Healthy Living (CHL) program.
  • To address limitations in current childhood obesity interventions by incorporating family context and implementation science.
  • To test the effectiveness of CHL in a real-world setting.

Main Methods:

  • CHL integrates a co-led parenting program, enhanced nutrition support, and a media campaign, guided by the Family Ecological Model and empowerment theories.
  • The intervention employs community-based participatory research and implementation science principles, including parent-staff co-leadership.
  • A three-year pragmatic cluster-randomized trial with a stepped wedge design will evaluate changes in child Body Mass Index z-score and related behaviors.

Main Results:

  • Primary outcome is change in child Body Mass Index z-score.
  • Secondary outcomes include weight-related behaviors (diet, physical activity, screen time, sleep), parenting practices, and parent empowerment.
  • Evaluation utilizes routine Head Start health data and parent surveys.

Conclusions:

  • CHL is an innovative childhood obesity prevention program grounded in theory and implementation science.
  • The program's design addresses key limitations of previous interventions.
  • Successful outcomes position CHL for sustained implementation and potential nationwide scale-up in Head Start programs.
Abstract

Keywords:
Childhood obesityCommunity-based participatory researchImplementationPragmatic trialTheoryTrial Protocol

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