"Community-based health promotion and disease prevention programs need sufficient levels of community capacity to be effective (Chomitz et al., 2010; de Groot et al., 2010; Economos and Curtatone, 2010; Goodman et al., 1998), but measuring changes in community capacity remains a key issue for obesity prevention programs. Several authors have used the Community Readiness to Change method (RTC) (Oetting et al., 1995; Plested et al., 2006) as a diagnostic measure of community preparedness and capacity prior to the implementation of community programs (Findholt, 2007; Oetting et al., 1995; Sliwa et al., 2011) and others have used other instruments at the end of an obesity prevention intervention (de Groot et al., 2010). "
[Show abstract][Hide abstract] ABSTRACT: Background:
Community capacity building is a promising approach in reducing childhood obesity. The objective was to determine changes in capacity over a 3 year intervention (2005-2008) in schools and whether greater increases in capacity were associated with greater decreases in overweight/obesity.
"It's your Move!" (IYM) was an obesity prevention project, in 12 Australian secondary schools (5 intervention; 7 comparison), that aimed to increase community capacity to promote healthy eating and physical activity. Capacity was assessed pre/post intervention using the 'Community Readiness to Change (RTC)' tool. Comparisons from baseline to follow-up were tested using Wilcoxon Signed-Ranks and results plotted against changes (Newcombe's paired differences) in prevalence of overweight/obesity (WHO standards).
RTC increased in intervention schools (p=0.04) over time but not for comparison schools (p=0.50). The intervention group improved on 5 of 6 dimensions and the three intervention schools that increased three levels on the RTC scale each had significant reductions in overweight/obesity prevalence.
There were marked increases in capacity in the intervention schools and those with greater increases had greater decreases in the prevalence of overweight/obesity. Community-based obesity prevention efforts should specifically target increasing community capacity as a proximal indicator of success.
Preventive Medicine 02/2013; 56(6). DOI:10.1016/j.ypmed.2013.02.020 · 3.09 Impact Factor
"The issue contains 15 written versions (see below) of the most remarkable papers (out of 91) presented at the sixth Active Living Research (ALR) Annual Conference held from February 18–20, 2009 in San Diego, California, USA, followed by three commentaries (Economos and Curatone, 2010; Price and Reis, 2010; Stringer Hessel et al., 2010), and concludes with two commissioned papers (Frank et al., 2010; Pucher et al., 2010). All of these manuscripts were fully peer-reviewed. "
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