Mass in Motion Kids Community-Clinical Partnerships to Reduce Childhood Obesity

1. Mass in Motion Kids Community-Clinical Partnerships to Reduce Childhood Obesity A partnership between the Massachusetts Department of Public Health, the cities of Fitchburg and New Bedford, the National Initiative for Children’s Health Care Quality, and Harvard University

2. Childhood Obesity is Not Randomly Distributed Among our Communities

3. Smallest Impact Largest Impact CDC “Health Impact Pyramid” Examples Eat healthy, be physically active Counseling & Education Clinical Interventions Rx for high blood pressure, high cholesterol, diabetes Long-lasting Protective Interventions Immunizations, brief intervention, cessation treatment, colonoscopy Changing the Context to make individuals’ default decisions healthy Fluoridation, trans fat, smoke-free laws, tobacco tax Socioeconomic Factors Poverty, education, housing, inequality

4. Mass in Motion: Eat Better, Move More • Multifaceted state initiative • Call to Action report • Governor’s Executive Order 509 • BMI regulation • School Nutrition Standards • Public information campaigns • Municipal wellness grants • Worksite initiative • Website • Info on physical activity and nutrition • Calendars • Blogs • Links to state and local resources

6. Division of Nutrition, Physical Activity and Obesity Obesity Prevention & Control Branch Evaluation Center University of Houston Massachusetts San Diego Texas Fitchburg New Bedford CDC Funded Childhood Obesity Research Demonstration (CORD) Project

7. Overall Approach • Build on successful Mass in Motion Approach • Enhance connections between sectors • Maintain the focus on evidence-based strategies • Policies • Systems • Environmental changes

8. 5 Key Target Behaviors Decrease in children’s consumption of sugar-sweetened beverages Decrease in screen time & TVs in children’s bedrooms Increase in children’s moderate & vigorous physical activity Substitution of empty-calories/nutrient poor foods with fruits and vegetables Increase in children’s sleep quality & duration

9. Project Overview

10. Primary Care: Primary Prevention

11. Primary Care: Secondary Prevention

12. Schools and After Schools

13. Child Care and Early Education

14. Women, Infants, and Children (WIC) Nutrition Program

15. Community Interventions • Building on foundation of Mass in Motion • Evidenced-based strategies focused on policy, system and environmental change • Creating environments that support healthy living • Media campaign • Youth empowerment approach • Will be developed in collaboration with schools to integrate school efforts into community approaches

16. Mass in Motion as a Foundation • Enhance community action plans • Focus on evidenced-based strategies that have the largest impact on the 5 obesity related behaviors, eg, IOM’s 2009 Local Government Actions to Prevent Childhood Obesity • Ensure coordination and integration of the multiple sectors at the local level • Special role of the Physician Champion and the Community Health Worker in clinical sites • Engage champions from all sectors in community-wide efforts

17. Proposed MiM Kids Community Activities

18. Poster

19. Booklet

20. Banner