AAP Childhood Overweight and Obesity
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ALABAMA

NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION: The Alabama team is structured in two tiers: state and local. Working with lead physician, Dr. MarshaRaulerson in Brewton, the team plans to reach out to nurse practitioners, health educators, dieticians, and physical therapists. Currently, the local team is conducting a photovoice assessment of the community. Alabama aims to select either nutrition or physical activity as their primary focus area. The goal of the training will be to train and support 20-30 Health Care Professionals.

At the April 2010 meeting, the community team selected its policy, environment, and systems change (PES) focuses. They are: Develop a large community garden and network, including various smaller plots for family use; convert the old middle school into a community center (which would include a garden area and playground); and create a plan for increasing physical activity in the community.
Within each of the three plans, the team has identified opportunities to incorporate physical activity aspects, nutrition, city/hospital/health department policy, and system changes.

The big picture aim is to establish a healthy culture in Brewton and East Brewton, starting with a specific project that can link to other coordinated efforts.



TARGET AUDIENCE: All pediatric healthcare practitioners

KIND OF PROJECT: Chapter

NAME OF CHAPTER: Alabama AAP

PARTNERS: School nurses, Health Department administration, Health Insurance companies, and Junior College administration; connections have been made with Brewton Medical Association to inform them of the project and future collaboration opportunities.

PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

CONTACT PERSON: Mim Gaines, MACT, RD, LD

CONTACT INFORMATION: mim.gaines@adph.state.al.us

 

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ARIZONA


TITLE OF WORKGROUP/TASK FORCE: AzAAP Early Childhood TaskForce Obesity Prevention Workgroup

KIND OF WORKGROUP: State

SCOPE OF WORK: Form a group of pediatricians and other partners to develop strategies to prevent childhood obesity in Arizona, develop a position paper to inform the Arizona First Things First Board of projects and activities that could be implemented through First Things First to improve nutrition and physical activity of youth in Arizona, assist in developing methods for implementation of activities and interventions by working with community partners, including Arizona universities, hospitals, Federally Qualified Health Centers (FQHCs), Indian Health Service (IHS), the Arizona Department of Health Services (ADHS), and health plans.

PARTNERS: Private practice pediatricians and other health care providers, Arizona State University and University of Arizona faculty, ADHS staff, Arizona ACOG representative, pediatricians working at FQHCs and IHS, a pediatric endocrinologist from Phoenix Children's Hospital

ACHIEVEMENTS: The Obesity Prevention Workgroup has created a partnership of interested pediatricians and community partners to work collaboratively on obesity prevention. Throughout the last year, the workgroup gathered information and research, met via conference calls on a regular basis, and developed strategies for childhood obesity prevention. As a part of the conference calls, participants were asked to share their expertise and information about barriers/challenges and innovative programs and best practices. As a result of the meetings, the group created a position paper and an executive summary, as well as a one page letter to the Arizona First Things First Board with specific interventions that this group could consider for implementation and funding. The group also recommended training suggestions on best practices regarding nutrition and physical activity for the Arizona Child Care Health Consultant Program. Additionally, the workgroup chair recently presented the position paper to the Arizona AHCCCS (Medicaid system in Arizona) Medical Directors and requested that AHCCCS partner with the workgroup to help prevent childhood obesity.

CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Rene Bartos, MD, MPH, FAAP, chair (rene7@cox.net)

WORKGROUP WEB SITE: http://azaap.org/arizona-chapter/obesity-workgroup.aspx

WORKGROUP PUBLICATIONS/RESOURCES: Position Paper-Preventing Obesity in Children and Youth Executive Summary-Preventing Obesity in Children and Youth Letter to Arizona First Things First with specific recommendations for funding and implementation Nutrition and Physical Activity guidelines/training suggestions for the Arizona Child Care Health Consultant Program

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ARKANSAS

Arkansas Projects:

NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION:Arkansas is arranged into five public health regions. Through ARCOP, the Arkansas team has a Growing Healthy Community site in each one of these regions. While Arkansas will have one overall statewide training, each of the five Growing Healthy Community sites will be responsible for recruiting healthcare professionals from their region. In March, Arkansas convened a Growing Healthy Community training to begin focusing the regional work and aligning priorities. All GHC sites are working on increasing accessing healthy foods, increasing access to physical activity, and policies that could enhance these efforts. Following this training, each region will be expected to conduct similar, region-wide Healthy Living summits over the coming months. Arkansas will recruit its healthcare professionals through its Growing Health Communities sites, the state nursing association, the regional and state chronic disease forum attendees, and the Minority Health Commission.

Regions will be encouraged to think broadly about their specific needs and resources. Policy efforts will center on access to healthy foods and increasing physical activity. Focus will be placed on schools and the built environment where possible.


TARGET AUDIENCE: All pediatric healthcare practitioners

KIND OF PROJECT: Chapter

NAME OF CHAPTER: Arkansas AAP

PARTNERS: ArCOP will be the primary partner in the Be Our Voice work. ArCOP is a coalition or broadbased stakeholders including 65 membership organizations and 255 members. ArCOP will be partnering with CHCA (Community Health Centers of Arkansas) and the Minority Health Commission.

PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

CONTACT PERSON: Joy Rockenbach

CONTACT INFORMATION: Joy.Rockenbach@arkansas.gov

 

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CALIFORNIA
California Projects:


NAME: HOPE (Health professional Obesity Prevention via Education)

PROJECT DESCRIPTION: We are developing a multidisciplinary, healthy living counseling curriculum to educate pediatric clinians-in-training on how to recognize children at risk for obesity co-morbidities and how to promote healthy dietary choices and increase physical activity among children and their families. The curriculum will be designed and tailored specifically for medical and dental trainees by a team of experts representing the fields of nutrition, medicine (pediatrics and family practice), dentistry, behavioral psychology, and education. This project is funded via the Vitamin Cases Consumer Settlement Fund and will be distributed to all pediatric medical and dental training programs in the state.

TARGET AUDIENCE: We are primarily targeting clinicians (both medical and dental) in training with this program but resources will also be available to all clinicians who treat children.

KEYWORDS: obesity education

YEARS OPERATIONAL: 2

KIND OF PROJECT: Individual Member

PARTNERS: University of California, San Diego Rady Children's Hospital, San Diego

PROJECT WEB SITE:  N/A

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Jeannie Huang, MD, MPH

CONTACT INFORMATION: (619) 543-7544; jshuang@ucsd.edu

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NAME: Healthy For Life/PE4ME

PROJECT DESCRIPTION: Fitness and nutrition program in school system from preschool to hight school. Aerobic and resistance training asw ell as nutrition education. FREE

TARGET AUDIENCE: Overweight and normal weight children 3-18 years of age in the public or parochial school system

KEYWORDS: PE4ME

YEARS OPERATIONAL: Now in year 5

KIND OF PROJECT:
Individual Member

PARTNERS: St. Joseph's Health System

PROJECT WEB SITE: pe4meonline.com

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Dr. Michael Weiss

CONTACT INFORMATION: mweiss3@cox.net

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NAME: San Diego County Childhood Obesity Initiative

PROJECT DESCRIPTION: The San Diego County Childhood Obesity Initiative is a public/private partnership whose mission is to reduce and prevent childhood obesity in San Diego County by creating healthy environments for all children and families through advocacy, education, policy development, and environmental change. In addition to the AAP holding a seat on our board of directors, many AAP members are thoroughly engaged in our efforts by advocating for changes in schools and pre-schools, planning projects and activities, providing leadership and lending their expertise to our efforts.

TARGET AUDIENCE: Our target audience is children and families, with the goals of improving access to affordable healthy foods; improving opportunities for physical activity; and enhancing economic, social, service and built environments to assure that all families have healthy choices no matter where they live, work, play or go to school.

KEYWORDS: Childhood obesity prevention; policy and environmental change

YEARS OPERATIONAL: 3

KIND OF PROJECT: Chapter

PARTNERS: The purpose of the San Diego County Childhood Obesity Initiative is to create, support and mobilize partnerships among multiple domains; provide leadership and vision; and coordinate countywide efforts to prevent and reduce childhood obesity. In addition to the AAP and many engaged physicians, other partners include organizations and individuals representing multiple sectors including:

  • County and city governments
  • Healthcare systems and providers
  • Schools and before- and after-school providers
  • Preschool and childcare providers
  • Community-based, faith-based and youth organizations
  • Media outlets and the marketing industry
  • Businesses

    PROJECT WEB SITE: www.OurCommunityOurKids.org

    PROJECT PUBLICATIONS/RESOURCES: San Diego County Childhood Obesity Action Plan is available at http://www.ccwsd.org/documents/obesity_action_plan.pdf PDF Document

    CONTACT PERSON: Cheryl Moder

    CONTACT INFORMATION: cmoder@hasdic.org 619-523-2001

    OTHER: Numerous AAP members are partnering with us to create policy and environmental change. We have established a physician advisory committee, comprised of many AAP members, to provide guidance and direction. Specific projects include creation of a centralized resource and referral network for childhood obesity and diabetes resources (currently in development with multiple partners including 2-1-1) to help physicians connect patients with existing resources at the neighborhood level; advocacy training for physicians and other clinicians; and development of tools and resources to enhance clinicians' efforts to assist patients and to create healthy environments in their own practice settings.

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CONNECTICUT

Connecticut Projects

NAME: "Fit for Kids"

PROJECT DESCRIPTION: The "Fit for Kids" program is located at the Chronic Care Center at Middlesex Hospital in Middletown, Connecticut. The program is staffed by an advance practice registered nurse, several registered nurses, registered dieticians, and clinical dietary educators. The program has implemented a "medical nutrition therapy" program, which utilizes a chronic care model for the prevention and treatment of childhood overweight and obesity. The team communicates with the referring physician and provides ongoing support and resources to the families. Additionally, the program has implemented a health outreach component to provide resources to the community via the Department of Children and Families, the Women, Infants and Children (WIC) program, and various local health fairs. In addition to patient care, the "Fit for Kids" team also trains the local providers, urging them to record and track the Body Mass Index, and providing the physicians with a toolkit with information on counseling families, motivational interviewing, and goal setting, as well as the 5-2-1-0 concepts for nutrition. The team follows up with the providers and continues to educate them regarding updated obesity prevention and treatment strategies as well as updated guidelines.

TARGET AUDIENCE: Pediatric Providers

KEYWORDS: Obesity

YEARS OPERATIONAL:

KIND OF PROJECT: Chapter

PARTNERS: Cliff O'Callahan, M.D. Cliff_O'Callahan_MD@midhosp.org

PROJECT WEB SITE: N/A

PROJECT PUBLICATIONS/RESOURCES:  N/A

CONTACT PERSON: Maraiah Popeleski R.D., Piper Tobler R.D., C.D.T.

CONTACT INFORMATION: Phone: 1-860-358-3018 E-mail: Maraiah_Popeleski@midhosp.org

Workgroups

TITLE OF WORKGROUP/TASK FORCE: Nutrition & Physical Activity/Obesity Prevention Task Force

KIND OF WORKGROUP: State

SCOPE OF WORK:
The Connecticut Chapter of the American Academy of Pediatrics in cooperation with the Opportunity Knocks Collaborative, the University of Connecticut Health Center, and the "Fit for Kids" program has recently formed a Nutrition & Physical Activity/Obesity Prevention Task Force, with the goal of organizing a statewide summit of healthcare providers engaged in the prevention of childhood obesity. The intial meeting will provide an opportunity for pediatric providers including pediatricians, family practice physicians, obstetricians, physician assistants, registered dietitians, and advanced practice registered nurses to share experiences and discuss practice techniques for the prevention and treatment of pediatric overweight and obesity. The goal will be to develop and offer a single collaborative chronic care model to pediatric providers across the State of Connecticut. The task force will then organize several learning collaborative sessions to educate these practices in the use of this model. When the model is put into practice, data can then be collected on a large, statewide scale, thereby further contributing to the already scant medical literature.

PARTNERS: "Fit for Kids" program at the chronic care center at Middlesex Hospital in Middletown, CT. The Opportunity Knocks Collaborative in Middletown, CT. University of Connecticut Health Center

ACHIEVEMENTS:

CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Rebecca Crowell, PhD

WORKGROUP WEB SITE:

WORKGROUP PUBLICATIONS/RESOURCES: For more information contact: Rebecca Crowell, PhD Postdoctoral Fellow Ethel Donaghue TRIPP Center University of Connecticut Health Center 263 Farmington Ave. Farmington, CT 06030 (860) 679-2897 crowell@uchc.edu

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DELAWARE

 

NAME: The Delaware Primary Care Initiative on Childhood Overweight

PROJECT DESCRIPTION: Now in its second year, this quality improvement initiative works with over 15 primary care practices statewide to teach best practices around the prevention, identification and management of childhood overweight based on the recommendations of the Expert Committee on the Assessment, Prevention and Treatment of Child and Adult Adolescent Overweight and Obesity. Key aims include measuring and classifying BMI and providing healthy lifestyle counseling. Progress to date includes: BMI classification at well child visits = 99.7% and healthy lifestyle counseling = 93%.

TARGET AUDIENCE: Delaware primary care providers including pediatricians and family physicians, school-based wellness centers and federally qualified health centers

KEYWORDS: prevent, identify and manage childhood overweight; quality improvement; healthy eating; physical activity; best practices

YEARS OPERATIONAL: 1.5

KIND OF PROJECT: Chapter

PARTNERS: De-AAP,Nemours Health & Prevention Services, Delaware Health & Social Services, National Initiative on Children's Healthcare

PROJECT WEB SITE: www.growuphealthy.org

PROJECT PUBLICATIONS/RESOURCES: www.growuphealthy.org - The Primary Care tab has many resources that providers can use in the office. They can be downloaded at no charge. The website also has informational sheets on 5-2-1-Almost None for parents and children.

CONTACT PERSON: Katie Hamilton, De-AAP Executive Director

CONTACT INFORMATION: 100 W. 10th Street, Wilmington, DE 19801 302-778-3908

OTHER: Participating teams have overwhelming exceeded goals on the initiative's two priority aims (indicators): • measuring and classifying BMI at all well child visits • imparting messages on healthy lifestyles at all well child visit

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DISTRICT OF COLUMBIA

D.C. Projects:

NAME: CHARM School

PROJECT DESCRIPTION: CHARM School (Choosing Healthy and Rewarding Meals) is a 20 week program conducted at Eastern Senior High School through the school based health center. It combines the expertise of a pediatrician, nutritionist, image consultant and fitness instructor to deliver a program focusing on healthy eating habits, life skills, and fitness. This program received initial funding from a CATCH grant and then received funding from the Mayor's Council on Food and Nutrition and the General Mills Foundation.

TARGET AUDIENCE: Open to students at Eastern Senior High School

KEYWORDS: Obesity School based health center Fitness Nutrition Life Skills

YEARS OPERATIONAL:
2

KIND OF PROJECT: Individual Member

PARTNERS: Unity Health Care, Inc. YMCA of Washington, DC DC Chapter of the American Academy of Pediatrics

PROJECT WEB SITE:

PROJECT PUBLICATIONS/RESOURCES:

CONTACT PERSON: Danielle Dooley

CONTACT INFORMATION: 202-518-2384 ddooley@unityhealthcare.org

OTHER: A poster presentation was done at the NICHQ conference in March 2008. Overall, 81 students attended at least one session of CHARM School and 31 students attended 5 or more sessions. 100% of attendees said they shared what they learned in CHARM School with their families and would attend more sessions. Trends were seen in terms of increased knowledge of nutrition recommendations and changes in eating behaviors as a result of participation in CHARM School.

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NAME: COOL Kids Program

PROJECT DESCRIPTION: A comprehensive family-based an intervention to prevent and treat obesity among Latino children and adolescents ages 7 to 15 years. The objectives of the program are to promote: healthy diet and eating habits; increasing physical activity and decreasing sedentary behavior; and improving parenting skills of the participating youth. Changes in BMI (child and parent), nutrition and physical activity knowledge and behavior, and reduction in sedentary conduct from baseline to post-intervention are measured to assess effectiveness of the intervention.

TARGET AUDIENCE: Overweight Latino Children and Adolescents ages 7 to 15 years

KEYWORDS: Overweight Latino children and adolescents, family-based intervention.

YEARS OPERATIONAL: 2004-present

KIND OF PROJECT: Individual Member

PARTNERS: Capital Area Food Bank

PROJECT WEB SITE: N/A

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Nazrat Mirza

CONTACT INFORMATION: Children's National Medical Center Washington, DC 20010 Tel 202-476-3948 email: nmirza@cnmc.org

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NAME: Start Early, Start Right (SESR)

PROJECT DESCRIPTION: Start Early, Start Right Program (S.E.S.R program) an intervention to prevent and treat obesity among Latino preschoolers ages 1 to 6 years. It is designed for the prevention and treatment of overweight Latino preschoolers, with the parents as the primary target of the intervention. The objectives of the program are to promote: healthy diet and eating habits in preschool children; increasing physical activity and decreasing sedentary behavior; and improving parenting skills of parents of preschool children. Changes in BMI (child and parent), nutrition and physical activity knowledge and behavior, and reduction in sedentary conduct from baseline to post-intervention are measured to assess effectiveness of the intervention.

TARGET AUDIENCE: Parents of Latino preschoolers.

KEYWORDS: Latino preschoolers, community-based obesity prevention and treatment program.

YEARS OPERATIONAL: 2005 - present

KIND OF PROJECT: Individual Member

PARTNERS: The Family Place, a community drop-in center, and Centro Nia, a day care facility

PROJECT WEB SITE: N/A

PROJECT PUBLICATIONS/RESOURCES:
N/A

CONTACT PERSON: Nazrat Mirza

CONTACT INFORMATION: Children's National Medical Center 111 Michigan Ave NW Washinton, DC 20010 Tel: 202-476-3948

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NAME: I.D.E.A.L. Clinic

PROJECT DESCRIPTION: Improved Diet, Exercise, and Activity for Life (I.D.E.A.L) Clinic is a Multidisciplinary Obesity Clinic at Children's Hospital. The clinic comprehensively assesses overweight children and adolescents, identifies risk factors, and obesity-related co-morbidities, and develops management plans for the patients and families. Patients have access to psychologists, dieticians, and exercise therapist as well as nurses, physicians, and specialists in gastroenterology, endocrinology, and cardiology. Dietary and physical activity counseling and instructions and appropriate and targeted behavioral change counseling are provided to the child and family.

TARGET AUDIENCE: The primary target population for the I.D.E.A.L clinic are overweight minority and underserved children and adolescents served by the Primary Care Community Clinics in the District.

KEYWORDS: Multidisciplinary weight management clinic for children and adolescents

YEARS OPERATIONAL: 2006 - present

KIND OF PROJECT: Individual Member

PARTNERS: N/A

PROJECT WEB SITE: N/A

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Nazrat Mirza

CONTACT INFORMATION: Children's National Medical Center 111 Michigan Ave NW Washington, DC 20010 Tel: 202-476-3948

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FLORIDA
Florida Projects:

NAME: Collaborative Obesity Prevention Program (COPP)

UNIVERSITY: Orlando Health-Department of Pediatrics Residency Training Program

PROJECT DESCRIPTION: Collaborative Obesity Prevention Program (COPP) will target children ages 8 to 12 and their families providing concurrent education on obesity prevention. Obesity prevention must be a concerted family effort since children are not solely responsible for their food choices. Additionally children in the target age range are at an age where they make substantial autonomous food choices. With the implementation of this program, it will allow residents another opportunity to impress upon these families the importance of not only knowing which foods are nutritionally valuable, but also healthy ways to maintain or lose weight. Orlando Health's partnership with Paramore Kids Zone (PKZ) will be further enhanced by increasing child participation in the healthcare aspect of their community's activities. Residents will give educational talks to patients, parents, and families, increasing awareness and hopefully shaping a healthier culture.

TARGET AUDIENCE: Residents, Children ages 8-12

KIND OF PROJECT: CPTI Resident Grant

PARTNERS: Paramore Kids Zone (PKZ)

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NAME: Preventing Obesity Through Breastfeeding Promotion

UNIVERSITY: University of Florida-Gainesville

PROJECT DESCRIPTION: This project will engage all residents initially through Journal Club meetings to review the research that supports the promotion of breastfeeding as obesity prevention. Following these meetings, residents will work with support faculty and staff to strategize methods for communicating this information to families who are preconception or pregnant so that they can decide prior to delivery to breastfeed their infants. We expect to develop posters, PSAs, brochures, and to travel to health fairs. Residents will spend time in Breastfeeding Clinic to improve their confidence and competence in assisting breastfeeding families. The outreach into the community will enhance the residents' education and improve their confidence for future ventures. In addition, there is opportunity to follow families following delivery and determine the success of the promotional materials the patients received by tracking their willingness to initiate and continue breastfeeding.

TARGET AUDIENCE: Residents, Preconception or pregnant families

KIND OF PROJECT: CPTI Resident Grant

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HAWAII

Hawaii Projects:

NAME: Hawaii Pediatric Weight Management Toolkit

PROJECT DESCRIPTION: Toolkit written for the primary care practitioner, will enable practitioner to implement the December 2007 AAP recommendations for childhood / adolescent overweight & obese in the office setting.

TARGET AUDIENCE: Pediatricians, Family Practitioners, Nurse Practitioners, Dietitians, WIC, Public Health Nurses

KEYWORDS: Hawaii, Toolkit, Childhood Overweight, Weight Management

YEARS OPERATIONAL: 2007

KIND OF PROJECT: Chapter

PARTNERS: Pediatric Foundation of Hawaii HMSA Foundation Mead Johnson Nutritionals Nicole Kerr, MPH, RD

PROJECT WEB SITE: Pfoh.org

PROJECT PUBLICATIONS/RESOURCES:  Toolkit

CONTACT PERSON: Galen Chock MD

CONTACT INFORMATION: gchock@aap.net

OTHER: The HAAPening Plate community collaboration unveiled 10/6/08: http://kgmb9.com/main/content/view/10280/40/ Statewide training in Toolkit to be finished by November 2008

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ILLINOIS

Illinois Projects:

NAME: Healthy Grandfamilies

PROJECT DESCRIPTION: The Illinois Chapter of the American Academy of Pediatrics (ICAAP) partnered with the AAP, Strang Institute, Chicago Public Schools and other state project leaders to provide nutrition education to grandparents serving as primary caregivers of their grandchildren. Six nutritional education sessions were led by pediatricians. Topics focused on: Healthy Kitchens, Healthy Messages, Healthy Portions, Fitness, Eating In and Eating Out. In addition to nutrition education an advanced nurse practioner attended two sessions focusing on blood pressure/overall elder healthcare and healthy lungs. ICAAP has also developed plans to further this initiative by working with Chicago-area pediatric and family practice residency training programs to provide educational sessions to them. These sessions will focus on the overall goal and objectives of the Healthy Grandfamilies project and will including information on the challenges and opportunities presented when working with grandparents who are the primary caregivers for their grandchildren. The sessions also will focus on providing residents with information related to strategies to educate caregivers (especially elderly caregivers) about nutrition.

TARGET AUDIENCE: Grandparents. Older adults.

KEYWORDS: Healthy Grandfamilies, Nutrition Education, Grandparents, Grandchildren

YEARS OPERATIONAL: 2008

KIND OF PROJECT: Chapter

PARTNERS: AAP, Strang Institute, Chicago Public Schools

PROJECT WEB SITE:  N/A

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Salaeha Shariff, MS

CONTACT INFORMATION: 312/733-1026 ext. 207 or sshariff@illinoisaap.com

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KANSAS

Kansas Projects:

NAME: Healthy Active Living Grant Project

PROJECT DESCRIPTION:
KAAP will work with KCPT, the Kansas City-based public television affiliate, to develop two public service announcements (PSAs) for parents of 0-5 year olds on healthy beverage choices to effect community-level change. The focus be on parents as role models, and on what parents and children can have (i.e., water, lowfat/nonfat milk) versus what they cannot have (sugared drinks, excessive juice)


TARGET AUDIENCE: The 111,000 children ages 0-5 and their 111,000-plus siblings and parents/caregivers in the 2 largest metropolitan areas of the state--Kansas City and Wichita


KIND OF PROJECT: Chapter

PARTNERS: Kansas AAP, Kansas City-based Weighing In and Wichita-based Health and WellnessCoalitions, Children's MercyHospital, KCPT, KPTS (Wichita public television) the Midwest Dairy Council, Children's Mercy Family Health Partners, Wichita and Kansas City-area Head Starts and Healthy Kids Challenge

PROJECT WEB SITE: N/A

CONTACT INFORMATION: http://www.aapkansas.org/

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TITLE OF WORKGROUP/TASK FORCE:
KS Coordinated School Health Advisory Council

KIND OF WORKGROUP: State

SCOPE OF WORK: Council gives direction to activities of KS Coordinated School Health Program.

PARTNERS: KS Department of Education KS Department of Health and Environment Goddard Public Schools KS Action for Healthy Kids American Heart Association-Heartland Chapter Midwest Dairy Association Sunflower Foundation KS Health Foundation United Methodist Health Ministries Foundation Wichita Medical Research Foundation Jefferson West Public Schools KS Chapter of the American Academy of Pediatrics Children's Mercy Hospitals and Clinics KS Association of School Boards American Cancer Society KS Action for Healthy Kids KS PTA Blue Cross Blue Shield of KS Fredonia Middle School Seaman School District Fort Scott School District KAHPERD KS Action for Children KS legislature

ACHIEVEMENTS: Successful administration of the Coordinated School Health model and technical assistance to 224 schools across the state in 2007.

CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Sarah Hampl, MD, FAAP (shampl@cmh.edu)

WORKGROUP WEB SITE: www.kshealthykids.org

WORKGROUP PUBLICATIONS/RESOURCES: E-lines monthly newsletter multiple fact sheets listed under "other resources" under resources tab on website

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KENTUCKY

Kentucky Projects

NAME: Walking Works

PROJECT DESCRIPTION: Walking Works is a program implemented via a $95,000 grant from Anthem to the KY Chapter of the AAP. The funds are used to fund the resources to allign YMCA's with obese children in the 3 most populated counties in KY. The children are partnered with medical students, pediatric residents, and other physicians to encourage physical activity, healthy eating habits. They are given vouchers for the YMCA and vouchers for education with a nutritionist. We currently have 295 children enrolled and have received excellent feedback from the children, families, and medical personnel serving as coaches. Our goal is to follow the children and to assess the impact on their BMIs and lifestyle changes regarding eating habits and exercise activities.

TARGET AUDIENCE: Ages 9-14 with BMI greater than 85% who are referred by a pediatrician member of our state chapter. They also must be from the Louisville, Lexington, or Northern KY regions.

KEYWORDS: Obesity, YMCA, Exercise, Nutrition

YEARS OPERATIONAL: 2009

KIND OF PROJECT: Chapter

PARTNERS: YMCA, University of Louiville and University of Kentucky Medical Students and Pediatric Residents, and Anthem

PROJECT WEB SITE:  N/A

PROJECT PUBLICATIONS/RESOURCES:  N/A

CONTACT PERSON:
Mary York - Executive Director, KY Chapter

CONTACT INFORMATION:
502-875-2202 www.kyaap.org

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NAME: Asthma and Obesity QI Initiative

PROJECT DESCRIPTION: The KY Chapter initiated a survey to assess pediatricians current understanding, treatment, and concerns of these chronic illnesses. The data has been gathered and is currently being evaluated to determine trends and to better understand the pediatricians role and skill sets to address these chronic illnesses.

TARGET AUDIENCE: Pediatricians in KY Chapter

KEYWORDS: Obesity

YEARS OPERATIONAL: 2007-2008

KIND OF PROJECT: Individual Member

PARTNERS: KY Chapter of the AAP and members

PROJECT WEB SITE: N/A

PROJECT PUBLICATIONS/RESOURCES: N/A

CONTACT PERSON: Julia Richerson, MD, FAAP

CONTACT INFORMATION: 502-875-2205 www.kyaap.org

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NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION:Kentucky will be focusing its efforts statewide, with particular focus on the eastern and southern reaches of the state. Both regions are socioeconomically disadvantaged and rural. The eastern region is primarily white while the southern region has a larger African American and Latino population than the eastern region but is still predominantly white and Appalachian.

Because counties form the basis for schools, parks, health departments and most all other infrastructure and because county seats are the primary site for all anon-agricultural economic activity in the majority of the target area, both trainings will use break-out session time to develop county-based teams of advocates who will work to develop county-specific advocacy plans.

Kentucky will be focusing its efforts on four separate areas: increasing physical activity in schools, BMI surveillance, Promotion of menu labeling, and general environmental changes. Each county team will determine its policy focus during the break-out portion of the training and will be supported by the Kentucky team at large. Special focus will be placed on KY House Bill 52 (a bill currently in committee that mandates improved activity and nutrition in school), on the YMCA's RWJ funded Pioneering Healthy Communities initiative and on the Kentucky chapter's ongoing efforts at obesity prevention

TARGET AUDIENCE: All pediatric healthcare practitioners

KIND OF PROJECT: Chapter

NAME OF CHAPTER: Kentucky AAP

PARTNERS: Kentucky will be working in partnership with the Child Policy Research Center;
Partnership for a Fit KY; Department of Telemedicine Group; YMCAs; County-specific Parks and Recreations Departments; KY Department of Public Health; KY Youth Advocates

PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

CONTACT PERSON: Mary York

CONTACT INFORMATION: maryyork@kyaap.org

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Kentucky Workgroups

TITLE OF WORKGROUP/TASK FORCE: S.C.O.R.E. Team

KIND OF WORKGROUP: State

SCOPE OF WORK: The group has been organized to address the issue of obesity in the state and to establish a plan of action to combat this issue. The group was established this summer by Dr. Bill Hacker, Director of Public Health, and it includes legislators, physcians, and community leaders. The group includes myself,President of the KY Chapter of the AAP and 7 other indiviuals. The group will have its first meeting this fall therefore is in its infancy but we are excited to work with the leaders in Public Health and Legislators to collaborate.

PARTNERS: KY Chapter of the AAP, Legislators, and Department of Public Health

ACHIEVEMENTS: Group was just formed

CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Joshua T. Honaker, MD, FAAP (President of the KY Chapter) - jthonaker@bellsouth.net

WORKGROUP WEB SITE: N/A

WORKGROUP PUBLICATIONS/RESOURCES: N/A

TITLE OF WORKGROUP/TASK FORCE: Supporters of the Healthy Kids Act

KIND OF WORKGROUP: State

SCOPE OF WORK: We are working in concert with Addia Wuchner, state representative and sponsor the bill entitled "Healthy Kids Act" which is legislation to mandate 30 minutes of physical activity each day in the elementary school setting. It did not pass last year but with the help of our legislative agent we have developed an action plan to assist in the passage of this legislation in the next session. The leaders in education are not supportive because of time to be taken away from the classroom setting.

PARTNERS: State Legislators P.U.S.H. - This is a resident run child advocacy group at the University of Louisville/Kosair Children's Hospital, including pediatric residents. They are focused on obesity, child abuse, and injury prevention.

ACHIEVEMENTS: We learned a lot about the political process last year as the bill did not pass and have worked to increase awareness and to engage more pediatricians to be vocal about the benefits of physical activity in the schools and the negative impact of obesity on our children and sociey.

CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Dr.Honaker (Chapt Pres), Dr. Snyder(PUSH Pres), Dr. Sturgeon - jthonaker@bellsouth.net

WORKGROUP WEB SITE: N/A

WORKGROUP PUBLICATIONS/RESOURCES: N/A

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MAINE

Maine Projects

NAME: Maine Youth Overweight Collaborative

PROJECT DESCRIPTION: Statewide effort involving 35 practices, 177 providers, 177,000 patients to address primary prevention and treatment of childhood obesity in the office. Present efforts are also targeted at making links between the pediatrician's offices and community organizations. Some communities have started regional childhood obesity collaboratives. Some practices have started specific programs such as group weight loss programs in the office. The provider decision support chart was published by the AAP in 3/08 and is being sold internationally. This has been a collaborative effor of the Maine AAP and the Maine Center for Public Health.

TARGET AUDIENCE: Patients, Providers, Communities

KEYWORDS: Teaching Collaborative, obesity, overweight, group weight loss programs

YEARS OPERATIONAL: 4 years

KIND OF PROJECT: Chapter

PARTNERS: Maine Center for Public Health

PROJECT WEB SITE: www.mcph.org, www.letsgo.org

PROJECT PUBLICATIONS/RESOURCES: Pediatric Obesity Clinical Decision Support Chart, AAP bookstore

CONTACT PERSON: Jonathan Fanburg, MD, MPH

CONTACT INFORMATION: P.O. Box 1420 Ellsworth, ME 04605

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NAME: Healthy Active Living Grant Project

PROJECT DESCRIPTION: Work with Parent Partners who are experienced educators and who are trained in the latest positive parenting techniques and will be going into the homes of families in Cumberland County


TARGET AUDIENCE: 0-5 year olds

KIND OF PROJECT: Chapter

PARTNERS: Maine AAP, Let's Go!,a community-based initiative, Maine Health and Maine Medical Center, Healthy Families, and Oakhurst Dairy

PROJECT WEB SITE: N/A

CONTACT INFORMATION: http://www.maineaap.org/


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MARYLAND

STATE: MD

NAME: Obesity Prevention Taskforce/Healthy Schools Coalition

PROJECT DESCRIPTION: Healthy Schools Coalition: A community and state Dept of Education staff council that designs legislative agenda of mutual programs to improve child wellness in the schools

TARGET AUDIENCE: County Boards of Education, State Education professionals, and legislature

KEYWORDS:

YEARS OPERATIONAL:
4 years, 3 years of legislative agendas

KIND OF PROJECT: Chapter

PARTNERS: American Heart, American Diabetes, PTAs, 6 members for the State Dept of Education Nutrition and Physical education staff.

PROJECT WEB SITE:

PROJECT PUBLICATIONS/RESOURCES:

CONTACT PERSON: Kate Franklin

CONTACT INFORMATION: MD Chapter of AAP (http://www.mdaap.org/)

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MISSISSIPPI

Mississippi Projects:

NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION: Mississippi will be convening one training in the greater Jackson area. The site's focus is on the recruitment of healthcare professionals from the tri-county area of Hinds, Madison, and Rankin counties as well as select partners from other areas of the state. The Mississippi site leads are recruiting healthcare professionals through presentations and exhibits at professional/ educational meetings Health Fair exhibits, community, and personal connections. All recruits are being surveyed regarding their community needs as well as their preferred area of focus. Mississippi will use this information to better focus their training and for use in the development of a referral directory for their healthcare professionals.

The overall focus of the site's efforts will on healthy eating and active living within Jackson metropolitan area schools. Advocates will be activated to work more closely with seven public school districts in the tri-county region of Central Mississippi and will be encouraged to foster two-way communication and collaboration with local school health councils to ensure children in the greater Jackson Metropolitan area are exposed to healthy food, consistent health and physical education, and healthier activities and food choices within their schools.

TARGET AUDIENCE: All pediatric healthcare practitioners

KIND OF PROJECT: Chapter

NAME OF CHAPTER: Mississippi AAP

PARTNERS: The MS team will be partnering with the MS Department of Health, school nurses, nutritionists with WIC, head start leaders, rural healthcare clinics and clinicians, the Campaign for Healthy Children, and the YMCA.

PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

CONTACT PERSON: Dr. Gerri Cannon-Smith

CONTACT INFORMATION: gerricannonsmith@bellsouth.net

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NEW HAMPSHIRE


NAME:
Granite State FitKids

PROGRAM DESCRIPTION -Promoting the 5 E's- Excitement, Enthusiasm, Energy, Exercise, and Education At home, school, and in the community Granite State FitKids is an interactive health awareness program specifically designed for the 4th grade level. The core of the program is a set of seven lessons, called "The Body Workshops", discussing the various body systems - cardiovascular, respiratory, gastrointestinal, muscular, skeletal, and nervous. In addition, three of the lessons focus on the effects of tobacco and the benefits of good nutrition and regular physical activity. These lessons are approximately 45-60 minutes each and complement the existing health education curriculum. Charles T. Cappetta, MD -pediatrician Dartmouth Hitchcock Nashua, NH, Immediate Past President NH Pediatric Society and AAP COSMF Executive Committee Member- instructs the seven lessons, with the assistance of Mr. Bones, and various health care/educational professionals. The curriculum uses a variety of educational strategies, including lecture, group discussions, and interactive student activities such as games and projects. Extension of the learning environment is reinforced by fun, easy to do homework assignments and weekly communication to parents and family members. Adjunct school staff members such as the physical education, art, computer, and music teachers are also involved in providing corresponding supportive information and activities in their own classrooms during the 7 weeks of the program. Having taught > 14,000 students since its inception in 1997, the expansion of the Granite State FitKids program has grown from 3 schools and teaching over 200 children in Nashua,NH to now 36+ schools and 18 communities in NH and MA and teaching over 2700 4th graders in 2007-2008. It was established as a 501c3-child health promotion organization in July 2000 and is registered as a Charitable Trust in NH with a 5 member Board of Governors made up of local hospital/school/parent and health care leaders.

PARTNERS: School communities-teachers, administration, specialists (PE, Art, Music, Guidance, Computer/Media/Libary) and PTO's. Dartmouth Hitchcock Health Care System/Southern NH Medical Center-Nashua NH/St. Joseph Hospital-Nashua, NH/Anthem Blue Cross and Blue Shield-NH/MVP Health Care/American Heart Association/American Cancer Society/New England Dairy Council/Charles H. Nutt Surgical Hospital Board of Trustees/Vibrac Torque Test Systems/NH Celebrates Wellness/Southern NH Area Health Education Center/Tufts Health Plan/UMass Lowell Centers for Health and Disease Research

ACHIEVEMENTS: In May 2005, Granite State FitKids was nationally recognized and honored as a "Silver Award" winner in The Cooper Institute (Dallas, Texas) Children's Healthy Bodies Initiative which identified programs (150 programs were reviewed) with the greatest potential to help reduce the epidemic of childhood obesity. In April 2006, Granite State FitKids had the distinct honor of being selected as only 1 of 7 programs from the United States included in the CDC/WHO publication, "Best Practices for Physical Activity Promotion around the World" which highlights various efforts from over 20 countries to deal with the epidemic of overweight and obesity and physical inactivity. In April 2007, Granite State FitKids was listed as a "Classroom curriculum energizer" in the NH Foundation for Healthy Communities release; Recommendations from the New Hampshire Childhood Obesity Expert Panel-Preventing Childhood Obesity: Promoting physical activity and healthy eating.

PROGRAM CONTACTS: Charles T. Cappetta, MD

CONTACT INFORMATION: Charles.T.Cappetta@Hitchcock.org

PROJECT WEB SITE: www.granitestatefitkids.org

PROJECT PUBLICATIONS/RESOURCES: Work in Progress through UMass Lowell Centers for Health and Disease Research

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NEW JERSEY
New Jersey Projects:

NAME: Healthy Active Living Grant


PROJECT DESCRIPTION: The pilot program at the Bergen Family Center will provide parents of children experiential learning through participatory activities in understanding, selecting, preparing, and serving healthier, more appropriate foods and beverages to their children from birth to five


TARGET AUDIENCE: 0-5 year olds

KIND OF PROJECT: Chapter

PARTNERS: AAP NJ Chapter, Englewood Area Community Foundation, The Bergen Family Center, HealthBarn USA, Englewood Hospital and Medical Center, Englewood Department of Health, ShopRite, The Bergen Record

PROJECT WEB SITE: N/A

CONTACT INFORMATION: http://www.aapnj.org/

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NEW MEXICO

New Mexico Projects:

NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION: New Mexico will be targeting healthcare professionals who serve the American Indian (Native American/indigenous) population. The team will be balancing statewide collaboration with supporting local policy efforts. At present, the New Mexico team is working to gain buy-in and support from tribal communities. The advocacy training will be coupled with the New Mexico Pediatric Society's annual Wylder lecture. New Mexico aims to train and engage 20 health care professional in the fight against childhood obesity in American Indian children and teens.

A team retreat is scheduled for early May 2010 to discuss the main goal of the project, how to enhance the RWJF curriculum, and how to present the advocacy issue/focus to tribal council leaders (Pueblo) and the Navajo Nation.

TARGET AUDIENCE: All pediatric healthcare practitioners

KIND OF PROJECT: Organization

NAME OF ORGANIZATION: Envision New Mexico

PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

CONTACT PERSON: Chenoa Bah Stilwell-Jensen, MS

CONTACT INFORMATION: cjensen@salud.unm.edu

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NEW YORK

NAME: Jump

UNIVERSITY: Mount Sinai School of Medicine

PROJECT DESCRIPTION: This program will provide a mechanism for residents to ensure that each referred child gets a complete work up for obesity related complications. Discussions will occur during the medical visit allowing families to choose what behaviors to focus on, identify barriers to change and help think of solutions to these barriers. The twelve week evidence-based educational program covers basic nutrition concepts such as the food guide pyramid, portion control, snacking, eating out, menu planning and reduction of sweetened beverages. The group exercise portion of the curriculum exposes families to a variety of simple exercises that can be incorporated into daily routines at home. Follow up medical exams will occur after the first 12 weeks in the program. Materials and resources developed will also be used as tools for resident education and for obesity prevention and treatment for all children in the practice.

TARGET AUDIENCE: Residents, Communities

KIND OF PROJECT: CPTI Resident Grant

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NAME: Healthy City Kids

UNIVERSITY: New York-Presbyterian Hospital/Weill Cornell Medical Center

PROJECT DESCRIPTION: Residents will participate in developing and implementing a program designed to identify community barriers to healthy living, optimize nutrition and promote active living. This evidence-based training curriculum will be created in conjunction with a pediatric nutritionist and utilize an evidence-based activity program for toddlers. This initiative will allow residents not only to gain needed knowledge about obesity prevention in high risk populations but also to participate in the development and implementation of a culturally relevant program that will address community needs and be practical for involved families. During the initial planning period, residents will work directly with community leaders, dietitians and a parent focus group representative of the families enrolled in a Head Start program to identify barriers to optimal healthy living in this high-risk pediatric population.

TARGET AUDIENCE: Head Start population, Residents

KIND OF PROJECT: CPTI Resident Grant

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NAME: Healthy Active Living Grant

PROJECT DESCRIPTION: Convene a multi-stakeholder consortium and building on established partnerships develop and deliver 2 toolkits for pediatricians and childcare providers on beverage demonstration, counseling, and age appropriate education materials from birth to five


TARGET AUDIENCE: Pediatric primary care providers, center-based and home-based childcare providers and parents of 0-5 year old children in Upstate New York

KIND OF PROJECT: Chapter

PARTNERS: AAP New York Chapter 1, District II, New York State Department of Health Bureau of Chronic Disease Prevention, WXXI radio and television station, The Greater Rochester Obesity Collaborative team with faculty form the Department of Pediatrics at the University of Rochester Medical Center

PROJECT WEB SITE: N/A

CONTACT INFORMATION: http://www.ny1aap.org/

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NORTH CAROLINA
North Carolina Projects:

NAME: Resident Outreach for Childhood Obesity Prevention (ROCOP)

UNIVERSITY: Duke University

PROJECT DESCRIPTION: The goal of the ROCOP project is to engage the pediatric residents in developing and implementing a specific curriculum extending the obesity prevention message to community sites. Using the "Eat Smart, Move More" resources available, the residents will participate in the development of the obesity prevention toolkit, giving them the experiential knowledge to replicate this type of outreach in their future practice. Residents will be required to participate in at least three planned activities at community sites during their community pediatrics rotation.

TARGET AUDIENCE: Residents, Communities

KIND OF PROJECT: CPTI Resident Grant


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NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

PROJECT DESCRIPTION: Cabarrus County is located in the south-central part of North Carolina and is a mixed urban/rural community. The county is experiencing epidemic rates of obesity and diabetes with obese youth reaching almost 50%.

The Cabarrus team will focus their activities around nutrition and physical activity in its two school districts, Cabarrus County Schools and Kannapolis City Schools. Cabarrus plans to utilize already existing resources and programs, such as the statewide campaign, "Eat Smart, Move More", and will identify other local and regional groups with which to partner. Recruitment activities include targeting school nurses (one full-time nurse in every school in the county), physicians, parish nurses, public health professionals, and school administration. The goal of the advocacy training is to successfully train and actively engage 20 healthcare professionals.

 

The Cabarrus team is in the process of narrowing their policy focus on nutrition and physical activity.
Nutrition:

  • Support Farm-to-School and School Garden programs
  • Increase appealing, healthy food and beverage choices offered outside of the school meal program (ie. fundraisers, vending, after school, a la carte)
  • Improve access to quality school meals (ie. includes school breakfast program and school lunch program)

Physical Activity:

    • Encourage standards-based physical education classes in which students are active for the majority of the class
    • Assess the physical fitness of students annually and provide results to student's parents or guardians (includes body mass index)
    • Increase opportunities for more frequent physical activity during and after school


    TARGET AUDIENCE: All pediatric healthcare practitioners

    KIND OF PROJECT: Organization

    NAME OF ORGANIZATION: Cabarrus Health Alliance

    PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

    CONTACT PERSON: Victoria Manning, MHA

    CONTACT INFORMATION: vhmanning@cabarrushealth.org

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    NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

    PROJECT DESCRIPTION: Through Advocates for Health in Action (AHA) and Community Care of Wake and Johnston Counties, the Wake team plans to utilize existing networks to target HCPs. The team has recognized the importance of engaging healthcare professionals (HCPs) across disciplines and linking these individuals with community resources and information. The goal of the advocacy training will be to successfully train and engage 20 healthcare professional. Advocates for Health in Action aims to broaden their reach by extending advocacy trainings through both a broad (large-group training) and focused (small-group training) approach to approximately 100 HCPs.

    Prior assessment of the community through AHA and its partners has led to several potential focus areas. Wake has recognized an opportunity to partner with the Parks and Recreation department to increase awareness and resources available to HCPs, and to ultimately improve physical activity and active lifestyles in the community. In addition, the team is exploring possible land use and zoning for community gardens as well as nutrition policy.

    The Wake team aims to balance their efforts between "big P" policy and "little P" policy, making sure to align efforts with the AHA agenda and state programs as well as local project that are already in place.


    TARGET AUDIENCE: All pediatric healthcare practitioners

    KIND OF PROJECT: Organization

    NAME OF ORGANIZATION: Advocates for Health in Action

    PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

    CONTACT PERSON: Laura Aiken, MA, MHA

    CONTACT INFORMATION: laiken@wakemed.org

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    OREGON
    Oregon Projects:

    NAME: Healthy Active Living Grant

    PROJECT DESCRIPTION: Physicians as spokespeople in the community about the appropriate consumption of sugar sweetened beverages (SSB) and increase awareness in the community by hosting a forum


    TARGET AUDIENCE: 1)Pediatricians statewide, 2)the individual/group pediatric practice, 3)Lane County community with a focus on the low income, or underserved populations


    KIND OF PROJECT: Chapter

    PARTNERS: Oregon Pediatric Society, Lane Coalition for Healthy Active Youth, Kaiser Permanente's Weight Management Institute, Upstream Public Health, the START Initiative, Healthy Smiles HRSA


    PROJECT WEB SITE:
    N/A

    CONTACT INFORMATION: http://www.oregonpediatricsociety.org/

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    TEXAS

    Texas Projects:

    NAME: Toolkit for Healthcare providers

    PROJECT DESCRIPTION: In 2004, with the recognition of the lack of training and deficency in pediatric provider education about the diagnosis, treatment, and management of pediatric obesity, a clinical toolkit was created for practitioners. Approximately 15,0000 hard copies were distributed in assoication with the Area Health Education Centers, the Department of State Health Services, Texas School Nurses Organizaiton,and the Texas Education Agency. In 2008 the toolkit was updated, and a web-based version will be made available.

    TARGET AUDIENCE: All pediatric healthcare practitioners

    KEYWORDS: Obesity Toolkit

    YEARS OPERATIONAL: 4

    KIND OF PROJECT: Chapter

    NAME OF CHAPTER: Texas Pediatric Society

    NAME OF MEMBER and ID:

    PARTNERS: Texas Department of State Health Services Texas School Nurses Organization Texas Education Agency Area Health Education Center DairyMax The Andera-Mennen Family Foundation

    PROJECT WEB SITE: www.txpeds.org

    PROJECT PUBLICATIONS/RESOURCES: www.txpeds.org

    CONTACT PERSON: Mary Greene-Noble

    CONTACT INFORMATION: 401 W 15th St # 682 Austin, TX 78701 (512) 370-1506

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    NAME: Mobilizing Healthcare Professionals as Community Leaders in the Fight Against Childhood Obesity program

    PROJECT DESCRIPTION: Texas will be concentrating on both a statewide effort and, parallel to that, a community effort in Harlingen, Texas. Two statewide trainings will be taking place (one in Austin, one in Fort Worth) with one local training in Harlingen, where the Hispanic, border population will benefit from the advocacy efforts.

    To better recruit healthcare professionals, the Texas team developed an application process. Applicants were recruited through their professional and ethnic organizations as well as through personal connections and outreach to state agencies and organizations. Interested individuals filled out an online application aimed at determining their level of interest, their time commitment, and their role as a healthcare professional in their community. The TX team selected applicants based on their ability to meet the above criteria and subsequently, formally invited to participate in the training.

    The overall emphasis of all trainings will be on healthy eating and active living. Participants will be asked to focus on one of 6 areas as outlined by 5-2-1-0 – Healthy eating, screen time, active living, sugar-sweetened beverages, BMI screening, and breastfeeding-- in either schools or communities.


    TARGET AUDIENCE: All pediatric healthcare practitioners

    KIND OF PROJECT: Chapter

    NAME OF CHAPTER: Texas Pediatric Society

    PARTNERS: This is a project of the Texas Pediatric Society in partnership with the Texas Medical Association and the Texas Academy of Family Physicians. Additionally, the team will be partnering with Live Smart Texas to more accurately assess impact.

    PROJECT WEB SITE: http://www.nichq.org/advocacy/about/index.html

    CONTACT PERSON: Mary Greene-Noble

    CONTACT INFORMATION: mary.greene-noble@txpeds.org

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    NAME: Fit Family

    PROJECT DESCRIPTION: multidisciplinary , intense weight management program

    TARGET AUDIENCE: 5-18 years olds with obese problems

    KEYWORDS: obesity weight management lifestyle changes

    YEARS OPERATIONAL:

    KIND OF PROJECT: Individual Member

    PARTNERS: Fort Worth YMCA

    PROJECT WEB SITE: none

    PROJECT PUBLICATIONS/RESOURCES: none

    CONTACT PERSON: John A. Menchaca, MD

    CONTACT INFORMATION: 817-336-7275 office

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    STATE: TX

    NAME: Catch 5 for a healthy weight

    PROJECT DESCRIPTION: The project is an initiative of the WIC Program of the City of Houston Health & Human Services to help decrease obesity among children 2-5 years old. In a collaborative effort with the local pediatric clinics, overweight and obese children are going to be identified through the WIC visits and the pediatricians' office visits. The WIC is going to offer conferences targeting five behaviors that can improve the health of the children: eating healthy snacks, drinking water instead of other beverages, choosing low fat or skim milk, eating at least 2 cups of vegetables daily and moving more, sitting less. The WIC office will provide these families with vouchers to spend in "healthier" food. The pediatricians will talk to the families about the same 5 behaviors and compromise the family to apply at least one of the behaviors. Children are going to be followed by the pediatrician every 4-6 weeks and asses their progress in terms of lifestyle, eating habits, weight and BMI. The families will receive the message of "healthy weight" through two sources, increasing the probability of improving the health of overweight and obese children. The success of the program will be measured by attendance rate to the WIC conferences, pre and post-tests, participant program evaluations and follow up telephone survey.

    TARGET AUDIENCE: Parents of overweight and obese children 2-5 years old

    KEYWORDS: WIC, Childhood Obesity, Obesity Prevention, Community

    YEARS OPERATIONAL: Projected starting date January 2009

    KIND OF PROJECT: Individual Member
        
    PARTNERS: WIC Office of the City of Houston Health & Human Services

    PROJECT WEB SITE: N/A

    PROJECT PUBLICATIONS/RESOURCES: N/A

    CONTACT PERSON: Rosana P. Aruda, MS, RD, LD

    CONTACT INFORMATION: 8000 N. Stadium Dr., 3rd floor (WIC)Houston, TX 77054. Phone: (713) 794-9929 or 9090. Fax: (713) 794-2903. E-mail: rosana.arruda@cityofhouston.net

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    STATE: TX

    NAME: Healthy Living Happy Living

    PROJECT DESCRIPTION: Multidisciplinary after school obesity intervention for overweight/obese elementary school children and a guardian.

    TARGET AUDIENCE: East Austin elementary school students and their guardian

    KEYWORDS: obesity, overweight, after school, underserved

    YEARS OPERATIONAL: 2008-2009

    KIND OF PROJECT: Individual Member

    PARTNERS: Renfert Fund of the Austin Community Foundation, Children's Medical Foundation of Central Texas, Dell Children's Medical Center of Central Texas, UTMB - Austin Programs, UT - Austin Department of Kinesiology and Health Education, Texas Child Study Center

    PROJECT WEB SITE: N/A

    PROJECT PUBLICATIONS/RESOURCES: N/A

    CONTACT PERSON: Stephen Pont, MD, MPH

    CONTACT INFORMATION: Stephen Pont, MD, MPH UTMB Austin - Department of Pediatrics UT-Austin Department of Kinesiology and Health Education Dell Children's Medical Center of Central Texas 4900 Mueller Blvd. Austin, TX 78723 sjpont@seton.org Phone: (512) 324-0165

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    NAME: Health Grandfamilies

    PROJECT DESCRIPTION: In partnership with Strang Cancer Foundation and Metlife, created a coalition of community partners (pediatricians, Houston after-school program leaders, and the YMCA) and delivered a pilot program of 6 workshops about nutrition and healthy lifestyles.

    TARGET AUDIENCE: Grandparents / older caregivers

    KEYWORDS: Granfamilies, nutrition, obesity

    YEARS OPERATIONAL: 1

    KIND OF PROJECT: Chapter

    NAME OF CHAPTER: Texas Pediatric Society

    NAME OF MEMBER and ID:

    PARTNERS: Local: C.A.S.E, MD Anderson YMCA, Fiesta National: Strang Cancer Foundation Funder: MetLife

    PROJECT WEB SITE: http://www.healthychildrenhealthyfutures.org/aboutus.htm

    PROJECT PUBLICATIONS/RESOURCES: http://www.healthychildrenhealthyfutures.org/ContactUs.htm

    CONTACT PERSON: Carl Tapia  (Texas Pediatric Society) and BJ Carter (Healthy Children Healthy Futures)

    CONTACT INFORMATION: cdtapia@texaschildrenshospital.org  or Healthy Children Healthy Futures Strang Cancer Prevention Center 428 East 72nd Street, Suite 600 New York, NY 10021 Phone: (212) 794-4900 x194 Fax: (212) 794-4958 Email: healthychildren@strang.org

    OTHER: Overall, the program was widely accepted by grandfamilies and pediatricians. A small but statistical difference was found for increase in reported activity.

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    Texas Workgroups:

    TITLE OF WORKGROUP/TASK FORCE: Live Smart Texas

    KIND OF WORKGROUP: State

    SCOPE OF WORK:
    Recognizing that:

    • ...a collaborative effort can lead to better outcomes than organizations can produce individually, the Live Smart Texas collaborative seeks to reverse the obesity epidemic through leadership and recommendations for resource development as well as policy and environmental change by involving a broad-based group of stakeholders.
    • ...the recent rise in obesity rates is due largely to complex changes occurring in our social and physical environments, and that the barriers to healthful eating and adequate physical activity vary tremendously from inner cities to the most rural areas of Texas, the Live Smart Texas collaborative supports solutions that are developed and implemented by stakeholders at the community level and that target populations disproportionately affected by obesity.

    The Live Smart Texas collaborative, comprised of stakeholders that share this mission, agree to work toward:

    • A collaborative research agenda related to obesity-prevention efforts and development of resources to fund it
    • A shared policy agenda for obesity prevention throughout the lifecycle
    • Resources to build infrastructure and capacity within all communities, with emphasis on high-risk communities, to ensure the implementation of evidence-based practices that embody cultural competence The Live Smart Texas steering committee will facilitate this work by:
      > Collaborating on research and funding opportunities
      > Developing a research agenda for the state on issues and programs relating to obesity
      > Identifying other funding opportunities, communicating them to stakeholders, and facilitating
         partnership opportunities among communities and researchers
      > Collaborating with the Partnership for a Healthy Texas and others to develop a shared
         policy agenda
      > Providing a communications network for obesity-prevention stakeholders in Texas
      > Communicating with policymakers about potential solutions to the obesity epidemic
      > Assessing the capacity and infrastructure of communities to address the obesity epidemic

      PARTNERS: http://www.livesmarttexas.org/LinkClick.aspx?fileticket=dvxnk%2beNoPA%3d&tabid=60&mid=388

      ACHIEVEMENTS: 1) $2 Million RWJ Grant Awarded: The Robert Wood Johnson Foundation (RWJF) has awarded a $2 million grant to a Texas coalition of more than 80 organizations to evaluate the effectiveness of state policies in preventing childhood obesity, the Austin Business Journal reports. The coalition, called Live Smart Texas, brings together state agencies, policy institutes, academic institutions, community organizations and advocacy groups. Participants will use the RWJF funding to evaluate the Texas Safe Routes to School program, which encourages children to walk or bike to school, and Texas's implementation of the new Healthy WIC package, funded by the federal Women, Infants and Children (WIC) nutrition program. Coalition leaders hope the results will guide local, state and national policymakers as they work to increase physical activity among children and provide more opportunity for children to eat healthy foods. The program will be led jointly by professors at the Texas A&M Health Science Center School of Rural Public Health and the Michael & Susan Dell Center for Advancement of Healthy Living at The University of Texas School of Public Health. One researcher called the grant "critically important to address policy issues that can have a positive effect on improving healthy eating and increasing safe and accessible places for physical activity in order to reduce the alarming trends toward childhood obesity" in Texas. According to a release, RWJF also awarded New York and Mississippi funding under the current round of grants (Austin Business Journal, 9/23/08; of Texas release, 9/8/08.).

      CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Kimberly Avila Edwards MD, FAAP

      WORKGROUP WEB SITE: http://www.livesmarttexas.org/

      WORKGROUP PUBLICATIONS/RESOURCES:

      SUBMITTED BY: Kimberly Avila Edwards MD

      E-MAIL ADDRESS: kcaedwards@yahoo.com

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    TITLE OF WORKGROUP/TASK FORCE: Healthy Students = Healthy Families

    KIND OF WORKGROUP: State

    SCOPE OF WORK: In 2007, Texas Agriculture Commissioner Todd Staples established the Healthy Students = Healthy Families committee to advise on all aspects of the nutrition policy for Texas and public schools and on program administration issues.

    PARTNERS: The committee is comprised of 12 members, including nutritionists, healthcare professionals, foodservice professionals, and educators.

    ACHIEVEMENTS: 1) The committee has made recommendations on 5 out of 10 charges originally given to the committee. The full list of which can be seen at: http://www.squaremeals.org/fn/render/parent/channel/0,1253,2348_18361_0_0,00.html 2) Committee members have assisted with recommendations on the state's breakfast and trans fat studies.

    CHAPTER WORKGROUP REPRESENTATIVES/CONTACTS: Kimberly Avila Edwards MD, FAAP

    WORKGROUP WEB SITE:
    http://www.squaremeals.org/fn/render/parent/channel/0,1253,2

    WORKGROUP PUBLICATIONS/RESOURCES: Note complete website did not feel in previous field: http://www.squaremeals.org/fn/render/parent/channel/0,1253,2348_18361_0_0,00.html

    SUBMITTED BY: Kimberly Avila Edwards MD, FAAP

    E-MAIL ADDRESS: kcaedwards@yahoo.com

    NAME: Kamp K'aana

    PROJECT DESCRIPTION:
    2 week residential camp for healthy lifestyle, weight control, and self-esteem. Balanced mealplan using Traffic Light Diet concepts, 1800 calorie per day, daily 1-hour sessions on good nutrition and behavior change, and 4-5 hours of camp activities, including swimming, horse-back riding, and high ropes. Supported by

    TARGET AUDIENCE: 10 to 14 year olds.

    KEYWORDS: Residential camp, obesity, weight control

    YEARS OPERATIONAL:

    KIND OF PROJECT: Individual
       
    PARTNERS: Camp Cho-Yeh; Children's Nutrition Research Center at Baylor College of Medicine; Texas Children's Hospital;

    PROJECT WEB SITE: N/A

    PROJECT PUBLICATIONS/RESOURCES: N/A

    CONTACT PERSON: Lisa Kuchik

    CONTACT INFORMATION: lakuchik@texaschildrenshospital.org

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    STATE: TX

    NAME: Healthy Kids-Houston

    PROJECT DESCRIPTION: After-school program in the Houston Parks and Recreation centers to improve physical activity level and fitness.

    TARGET AUDIENCE: 6 to 12 year old, in lower income neighborhoods.

    KEYWORDS:

    YEARS OPERATIONAL: 2007-2008

    KIND OF PROJECT: Individual Member

    PARTNERS: Children's Nutrition Research Center at Baylor College of Medicine; Houston Parks and Recreation Program; Texas Children's Hospital

    PROJECT WEB SITE: N/A

    PROJECT PUBLICATIONS/RESOURCES: N/A

    CONTACT PERSON: William Wong PhD

    CONTACT INFORMATION: wwong@bcm.tmc.edu

    OTHER: In overweight and obese children, the BMI improved. Publication: Bush CL et al. J Peds 2007; 151:513

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    NAME: LEAN Families Program

    PROJECT DESCRIPTION: This is a 12 week multidisciplinary family based treatment program for children with BMI >95th percentile. Ages 6-18 years are enrolled

    TARGET AUDIENCE: All obese children and their families who demonstrate readiness to make lifestyle changes. Classes are divided based on age group.

    KEYWORDS: Obesity Treatment Program

    YEARS OPERATIONAL:

    KIND OF PROJECT: Individual Member

    PARTNERS: Children's Medical Center Dallas UT Southwestern Medical Center Dean Foods Corp. (major donor)

    PROJECT WEB SITE: www.childrens.com (search for LEAN Families)

    PROJECT PUBLICATIONS/RESOURCES: see web site

    CONTACT PERSON: LeAnn Kridelbaugh, MD FAAP

    CONTACT INFORMATION: LEAN Families Program Children's Medical Center Dallas 1935 Medical District Drive F4170 Dallas, Texas 75235 leann.kridelbaugh@childrens.com

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    NAME: Ready.Set. StartSmart!

    PROJECT DESCRIPTION: Childhood obesity prevention program starting in the newborn period. There is an intervention (4X6 card with two messages - one for child and one for parent, promotional item, anticipatory guidance)at each well child visit until 5 years.

    TARGET AUDIENCE: Children and their families, primary care physicicans

    KEYWORDS: childhood obesity prevention, newborn, well child checkup, intervention, nutrition, activity

    YEARS OPERATIONAL: 2 years

    KIND OF PROJECT: Individual Member

    PARTNERS: William Sorensen, PhD, statistician, University of Texas at Tyler

    PROJECT WEB SITE: N/A

    PROJECT PUBLICATIONS/RESOURCES: materials printed in English with Spanish translation completed.

    CONTACT PERSON: Barbara W. Huggins, MD

    CONTACT INFORMATION: barbara.huggins@uthct.edu (903) 877-7219

    OTHER: Pilot study completed summer 2008. Data pending. Preliminary stats show definite improvement in education with some behavior changes noted.

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    WASHINGTON
    Washington Projects:

    NAME: BodyWorks Seattle

    PROJECT DESCRIPTION: BodyWorks is a national health education program developed by the Federal Department of Health and Human Services. This ten-week program is designed to provide parents and caregivers of teenagers ages 9 to 16 years with tools to improve family eating and activity habits. BodyWorks focuses on parents as role models and includes a video on healthy shopping and cooking strategies,a recipe book, and food and fitness journals. Daughters and sons are encouraged to attend also.

    TARGET AUDIENCE: Parents and caregivers of teenagers

    KEYWORDS: BodyWorks, health education, obesity prevention, healthy habits, Seattle weight management program

    YEARS OPERATIONAL: Since 2006

    KIND OF PROJECT: Individual Member

    NAME OF CHAPTER: Washington State

    PARTNERS: Seattle BodyWorks Coalition, Valley Medical Center, Overlake Medical Center, Swedish Medical Center, Seatlle Children's Hospital, Department of Health and Human Services' Office on Women's Health

    PROJECT WEB SITE: www.womenshealth.gov/bodyworks

    PROJECT PUBLICATIONS/RESOURCES: BodyWorks Evaluation Final Report (visit www.womenshealth.gov/bodyworks)

    CONTACT PERSON: Monica Richter, MD, PhD

    CONTACT INFORMATION: bodyworksprogram@gmail.com

    OTHER: There is no charge for participation. Meetings are for 1 1/2 hours each, one evening a week, for ten weeks. We request that parents or caregivers commit to attending at least eight of the ten meetings.


     



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