Collaboration for a Healthy Community

描述（由申请人提供）：健康社区合作华盛顿州亚基马山谷社区健康促进中心是社区合作伙伴和弗雷德哈钦森癌症研究中心的合作。该中心及其社区咨询委员会（CAB）已经开展了许多项目，以改善在山谷中的西班牙裔的健康;最值得注意的是，我们一直专注于癌症的认识和筛查，糖尿病的认识，预防和干预，以及农药暴露在农场工人的孩子。在过去的两次CAB会议上，CAB成员对西班牙裔青年的肥胖率表示失望，并表示有兴趣拨款解决这个问题。已经确定了导致儿童肥胖率增加的各种因素。大多数青少年和儿童缺乏日常的、高质量的体育活动， 在学校和空闲时间。肥胖症的其他风险因素包括获得负担得起的健康食品的机会有限，以及高能量密度食品和含糖饮料的供应增加;后者是美国儿童饮食中添加糖的最大来源和卡路里的重要贡献者。作为对RFA MD-12-006的回应，CAB开会讨论了一项解决硅谷肥胖问题的提案。在讨论如何规划和实施一个项目时，CAB提出了一些将在这个拟议项目中实施的组成部分。首先，重点将放在饮食/营养和体育活动上。其次，让学校和其他组织参与进来（例如，教会），该小组希望解决政策变化问题。第三，该小组希望利用循证传播信息，向社区（家长和青少年）宣传健康饮食和健康体育活动。在三年的基础设施建设期间，CAB将进行需求评估，确定潜在的试点， 并评估试点的结果。这将为第二阶段，即大规模试验实施阶段做好准备。 相关性（参见说明）：在华盛顿州亚基马山谷的组织和居民之间的这种合作中，我们将开发一个社区基础设施来解决青少年肥胖问题。在首三年，我们会进行试验计划，以评估第二期全面推行计划的可行性。

DESCRIPTION (provided by applicant): Collaboration for a Healthy Community The Center for Community Health Promotion in the Yakima Valley of Washington State is a collaboration of community partners and the Fred Hutchinson Cancer Research Center. The Center and its Community Advisory Board (CAB) has undertaken many projects to improve the health of Hispanics in the Valley; most notably, we have focused on cancer awareness and screening, diabetes awareness, prevention, and intervention, and pesticide exposure among children of farm workers. In the past two CAB meetings, the CAB members have expressed dismay at the incidence of obesity among Hispanic youth and have expressed interest in writing a grant to combat the problem. A variety of factors have been identified which contribute to the increase in obesity rates in children. Most adolescents and children lack daily, quality physical activity both in schools and in free time. Other risk factors for obesity include limited access to healthy affordable foods, and a greater availability of high-energy-dense foods and sugary drinks; the latter are the largest source of added sugar and an important contributor of calories in the diets of children in the United States. In response to RFA MD-12-006, the CAB met to discuss a proposal to fight the obesity problem in the Valley. In discussing how to plan and implement a project, the CAB came up with a number of components that will be pursued in this proposed project. First, the focus will be on diet/nutrition and physical activity. Secondly, involving schols and other organizations (e.g., churches) the group wishes to address policy changes. Thirdly, the group wishes to use evidence-based communication messages to inform the community (parents and youth alike) of healthy eating and healthy physical activity. During the three-year infrastructure building period, the CAB will conduct a needs assessment, identify potential pilots, and evaluate the outcomes of the pilot. This will prepare the group for Phase II, the large-scale trial implementation phase. RELEVANCE (See instructions): In this collaboration between organizations and residents of the Yakima Valley in Washington State, we will develop a community infrastructure to address youth obesity. In the first three years, we will conduct pilot projects to assess the feasibility o a full-scale project in Phase II.