Addressing Childhood Obesity Through Multisector Collaborations: Evaluation of a National Quality Improvement Effort
Addressing Childhood Obesity Through Multisector Collaborations: Evaluation of a National Quality Improvement Effort
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DOI：
10.1007/s10900-016-0302-7
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发表时间：
2017-08-01
影响因子：
5.9
通讯作者：
Fisher, Sylvia K.
中科院分区：
文献类型：
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作者：
Hargreaves, Margaret B.;Orfield, Cara;Fisher, Sylvia K.
健康体重合作(HWC)代表了一项全国性的质量改进努力，旨在增加以循证社区为基础的干预措施，以解决儿童肥胖问题。2011年至2013年实施的《卫生与健康公约》建设了49个社区多部门工作队的能力(第一阶段试点有10个工作队，第二阶段有39个工作队)，提供支持儿童和家庭健康行为改变的服务，并在组织和社区层面实施可持续的社会和环境政策改变。第二阶段团队参加了三次虚拟协作学习会议，其间穿插着三个“行动阶段”，在此期间，各团队在接受量身定制的指导和同行支持的同时，实施了人力资源管理委员会的“改变一揽子计划”。所有参与第二阶段的队伍都采纳了健康体重的信息，59%的团队实施了全社区健康体重评估和健康体重计划，31%的团队在制定和实施促进健康体重的政策方面取得了进展。到项目结束时，三分之一的团队已经制定了可持续发展计划，以继续使用这一方法。卫生与公众卫生委员会提供了一种协作的团队模式，有可能有效地应对其他公共卫生挑战。
The Healthy Weight Collaborative (HWC) represents a national quality improvement effort to increase uptake of evidence-based community-based interventions to address obesity among children. Implemented from 2011 to 2013, the HWC built the capacity of 49 community-based multisector teams (10 teams in the Phase 1 pilot, 39 teams in Phase 2), delivered services to support health behavior changes in children and families, and implemented sustainable social and environmental policy change at the organizational and community levels. Phase 2 teams participated in three virtual collaborative learning sessions interspersed with three "action periods" during which teams implemented the HWC "change package" while receiving tailored coaching and peer-support. All of the teams participating in Phase 2 adopted a healthy weight message, 59% implemented community-wide healthy weight assessments and healthy weight plans, and 31% made progress toward developing and implementing policies to promote healthy weight. By the end of the project, one-third of teams had developed sustainability plans to continue working with this approach. The HWC offers a collaborative team model with the potential to effectively address other public health challenges.