An Evaluation Framework for Obesity Prevention Policy Interventions

School of Nursing, Carrington Hall, CB no. 7460, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.
Preventing chronic disease (Impact Factor: 2.12). 06/2012; 9(6):E120. DOI: 10.5888/pcd9.110322
Source: PubMed


As the emphasis on preventing obesity has grown, so have calls for interventions that extend beyond individual behaviors and address changes in environments and policies. Despite the need for policy action, little is known about policy approaches that are most effective at preventing obesity. The Centers for Disease Control and Prevention (CDC) and others are funding the implementation and evaluation of new obesity prevention policies, presenting a distinct opportunity to learn from these practice-based initiatives and build the body of evidence-based approaches. However, contributions from this policy activity are limited by the incomplete and inconsistent evaluation data collected on policy processes and outcomes. We present a framework developed by the CDC-funded Center of Excellence for Training and Research Translation that public health practitioners can use to evaluate policy interventions and identify the practice-based evidence needed to fill the gaps in effective policy approaches to obesity prevention.

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Available from: Jennifer Leeman, Jun 16, 2014
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    • "Environments and policies that increase access to healthy food options and places for physical activity are strategic tools for chronic disease prevention that offer greater reach than individual educational interventions . However, more evidence is needed to show that these strategies are effective (Leeman et al., 2012). Faith-based organizations (FBOs) have been widely recognized as potentially effective settings for health promotion (Campbell et al., 2007; DeHaven, Hunter, Wilder, Walton, & Berry, 2004; Kegler et al., 2012). "
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    ABSTRACT: High rates of heart disease, cancer, and stroke exist in rural South Georgia where the Emory Prevention Research Center's Cancer Prevention and Control Research Network provided mini-grant funding to six churches to implement policy and environmental change to promote healthy eating and physical activity. This study sought to determine whether perceptions of the health promotion environment changed over time and whether perceived environmental change was associated with healthy behavior at church and in general. This study used a single-group pre-post design with 1-year follow-up. Parishioners (N = 258) completed self-administered questionnaires assessing perceptions of the church health promotion environment relative to healthy eating and physical activity, eating behavior and intention to use physical activity facilities at church, and eating and physical activity behaviors generally. Results indicate that perceived improvements in church nutrition environments were most strongly associated with decreases in unhealthy food consumed and stronger intentions to use physical activity resources at church (ps ≤ .05). Perceived changes in the physical activity environment were unrelated to church or general behavior. Findings suggest that church environments may play an important role in supporting healthy eating and physical activity at church; however, whether the influence of the church environment extends to other settings is unknown.
    Health Promotion Practice 11/2015; DOI:10.1177/1524839915613027 · 0.55 Impact Factor
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    Journal of public health management and practice: JPHMP 01/2013; 19(Supp):23-33. · 1.47 Impact Factor
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    ABSTRACT: As obesity prevention initiatives increasingly shift toward approaches focused on policy, systems, and environmental change, opportunities to share experiences from the field and lessons learned are growing. Stories are a tool to illustrate processes and outcomes of initiatives that can complement quantitative results. The use of stories, however, is not widely recognized, and the methods and tools available to develop stories are limited. Therefore, we describe the methods used to collect, develop, and disseminate stories featuring comprehensive obesity prevention efforts that various state health departments are planning and implementing. We also discuss potential challenges and provide recommendations that public health practitioners may consider when developing similar stories.
    Preventing chronic disease 02/2013; 10(2):E23. DOI:10.5888/pcd10.120141 · 2.12 Impact Factor
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