Sarah D. Jones, MS, RD, LD School, Community and Data Core Manager Prevention Research Center for Healthy Neighborhoods Case Western Reserve University.

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Presentation transcript:

Sarah D. Jones, MS, RD, LD School, Community and Data Core Manager Prevention Research Center for Healthy Neighborhoods Case Western Reserve University IMPACT: A multi-level study for overweight and obese middle school students from a coordinator’s perspective

Background

Family-Based Intervention

School-Based Intervention

Individual Level: Anthropometrics Physical exam Dietary recall Accelerometry Fitness measures Questionnaires Data collected at multiple levels

FAMILY Food in the House Rules about TV Rules about snacking Social support Family activity level Family Functioning Family Resources Family Level: Questionnaires completed by both parent and child Data collected at multiple levels

FAMILY SCHOOL Food in the House Rules about TV Rules about snacking Social support Family activity level Snacking in class Quality of school lunches Freq of PE class Availability of sports equipment Peer norms around eating and PA (YRBS) Soda and snack machines Family Functioning Family Resources Nutrition education % students who walk to school School Level: YRBS (school- specific) School Food Environment Audit and Observation We Run This City: Team Characteristics Coach survey Data collected at multiple levels

Neighborhood Level: Neighborhood Attribute Inventory Food Retail Audits Parks and Green space inventory Crime rates Poverty data BRFSS (adult health risk) Adult Obesity Rate FAMILY SCHOOL NEIGHBORHOOD Food in the House Rules about TV Rules about snacking Social support Family activity level Snacking in class Quality of school lunches Freq of PE class Availability of sports equipment Peer norms around eating and PA (YRBS) Soda and snack machines Neighborhood Walkability Family Functioning Family Resources Food Retail (corner stores) Conditions of sidewalks/lighting Assault, Robbery Rates Safe Places to Recreate Nutrition education % students who walk to school Closest Grocery Store Perceived Neighborhood Safety Parks and Green Space

CoreLevelFunction ClinicalIndividualComplete annual measurements InterventionFamilyFamily intervention delivery School & Community School Neighborhood School intervention Environmental data collection Coordinate Community Advisory Board How do we get all of this accomplished?

Benefits at the School and Neighborhood Levels

Benefits

Challenges/Barriers

Recommendations