Accelerating efforts to prevent childhood obesity: spreading, scaling, and sustaining healthy eating and physical activity.
Accelerating efforts to prevent childhood obesity: spreading, scaling, and sustaining healthy eating and physical activity.
复制标题
DOI：
10.1377/hlthaff.2014.0818
复制
发表时间：
2014-12
期刊：
影响因子：
9.7
通讯作者：
Debbie I. Chang;Allison Gertel-Rosenberg;Kim Snyder
中科院分区：
文献类型：
--
作者：
Debbie I. Chang;Allison Gertel-Rosenberg;Kim Snyder
在过去的十年中，通过政策和实践的改变，鼓励增加身体活动和获得健康食品，在解决儿童肥胖问题上取得了进展。随着这些策略的实施，人们开始了解如何有效预防儿童肥胖。现在的任务是考虑如何最好地传播、扩大和维持有希望的儿童肥胖预防策略。在本文中，我们研究了由儿童健康系统 Nemours 领导的一个项目，旨在解决儿童肥胖问题。我们描述了内穆尔传播、扩大和维持儿童肥胖预防干预措施的概念方法。我们回顾了特拉华州内穆尔倡议的一个组成部分，该倡议侧重于早期护理和教育环境，并通过国家早期护理和教育学习合作组织扩展到其他州，以预防儿童肥胖。我们还讨论了经验教训。重点关注有前途的战略的传播、扩大和维持，有可能扩大肥胖预防工作的范围和影响，并有助于确保其对人口健康的影响。
During the past decade, progress has been made in addressing childhood obesity through policy and practice changes that encourage increased physical activity and access to healthy food. With the implementation of these strategies, an understanding of what works to prevent childhood obesity is beginning to emerge. The task now is to consider how best to spread, scale, and sustain promising childhood obesity prevention strategies. In this article we examine a project led by Nemours, a children's health system, to address childhood obesity. We describe Nemours's conceptual approach to spreading, scaling, and sustaining a childhood obesity prevention intervention. We review a component of a Nemours initiative in Delaware that focused on early care and education settings and its expansion to other states through the National Early Care and Education Learning Collaborative to prevent childhood obesity. We also discuss lessons learned. Focusing on the spreading, scaling, and sustaining of promising strategies has the potential to increase the reach and impact of efforts in obesity prevention and help ensure their impact on population health.